NPI 1376648246

Renaissance Pathology Associates PA

Organisation Specialist Eden, NC

Practice location

Address: 117 E Kings Hwy, Eden, NC 27288-5201
Phone: (336) 623-9711
Fax: (336) 627-0900
Mailing address: PO Box 767, Eden, NC 27289-0767

Authorised official

Name: Mark Saunders Jordan
Title: President
Phone: (336) 623-9711

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 115326 (NC)

Other Specialist providers in North Carolina →

Registry record

NPI: 1376648246
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 13 Sep 2010

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.