Healthcare Provider Details

I. General information

NPI: 1831151976
Provider Name (Legal Business Name): PATHOLOGY ASSOCIATES OF GREENVILLE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEMORIAL MEDICAL CT SUITE 1
GREENVILLE SC
29605-4455
US

IV. Provider business mailing address

8 MEMORIAL MEDICAL CT SUITE 1
GREENVILLE SC
29605-4455
US

V. Phone/Fax

Practice location:
  • Phone: 864-295-3492
  • Fax: 864-295-4817
Mailing address:
  • Phone: 864-295-3492
  • Fax: 864-295-4817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number42D0665869
License Number StateSC

VIII. Authorized Official

Name: DAVID SCHAMMEL
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 864-295-3492