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Contact Information

PROVIDENCE PATHOLOGY ASSOCIATES PA
2435 FOREST DR
C/O PROVIDENCE HOSPITAL
COLUMBIA, SC29204-2026
 Phone: 803-256-5335
 Fax: 803-256-5454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PROVIDENCE PATHOLOGY ASSOCIATES PA · (Female)

NPI Number 1780656363
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2006
Last updated 01/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 19654
  • SC Medicaid GP2746
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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