Outpatient Cytopathology Center

NPI 1275740987 - Pathology - 207ZP0102X

NPI Details
NPI 1275740987
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN D SUSAN
Position MEDICAL DIRECTOR
Phone (423) 283-4734
Fax (423) 283-4736
Practice Location
2400 SUSANNAH ST
SUITE A
JOHNSON CITY TN, 37601-1730, US
Phone (423) 283-4734
Fax (423) 283-4736
Business Location
PO BOX 2484
JOHNSON CITY TN, 37605-2484, US
Phone (423) 283-4734
Fax (423) 283-4736
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
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According to our database, Outpatient Cytopathology Center NPI is 1275740987, taxonomy code is 207ZP0102X Outpatient Cytopathology Center physically located at 2400 Susannah St, Johnson City TN, 37601-1730. NPI Number 1033115704 has the healthcare provider type.

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1275740987 NPI number is provided on an as is basis without warranty of any kind. 1275740987 is maintained by the National Plan & Provider Enumeration System. The contents of Outpatient Cytopathology Center are for informational purposes only.