NPI 1003823196

West Georgia Pathology, LLC

Organisation Anatomic Pathology & Clinical Pathology Physician Carrollton, GA

Practice location

Address: 705 Dixie St Attention: Pathology Department, Carrollton, GA 30117-3818
Phone: (678) 305-9046
Mailing address: 11025 Rca Center Dr Suite 300, Palm Beach Gardens, FL 33410-4269

Authorised official

Name: Michael C Grattendick
Title: Vice President
Phone: (561) 626-5512

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

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Registry record

NPI: 1003823196
Entity type: Organization
NPI issued: 1 Aug 2006
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.