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Contact Information

WATAUGA PATHOLOGY ASSOCIATES PC
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN37604-6035
 Phone: 423-431-6388
 Fax: 423-431-6331
 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 WATAUGA PATHOLOGY ASSOCIATES PC

NPI # 1720053945
LBN Legal business name WATAUGA PATHOLOGY ASSOCIATES PC
Authorized official DAVID SOIKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2006
Last updated 02/18/2008 - About 18 years ago
Identifiers
TN License # MD0000015437
TN License # MD0000020115
TN Medicaid 3384912
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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