NPI 1174212203

Healthy Path Doc, LLC

Organisation Anatomic Pathology & Clinical Pathology Physician Jackson, MS

Practice location

Address: 5358 Carolwood Dr, Jackson, MS 39211-4267
Phone: (601) 405-4163

Authorised official

Name: Lafarra Demetric Young-Gaylor
Title: Manager
Phone: (601) 405-4163

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Mississippi →

Registry record

NPI: 1174212203
Entity type: Organization
NPI issued: 4 May 2023
Record last updated: 4 May 2023

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.