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NPI Code Detail

MEDICARE: PATHOLOGY ASSOCIATES OF KINSTON PA

MEDICARE: PATHOLOGY ASSOCIATES OF KINSTON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CC2915OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10269MOTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053305011
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHOLOGY ASSOCIATES OF KINSTON PA
Provider Business Mailing Address
First Line : PO BOX 1295
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-1295
Country : US
Telephone Number : 304-323-4320
Fax Number : 304-323-4333
Provider Business Practice Location Address
First Line : 100 AIRPORT RD
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 252-522-7141
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHEL HADDAD
Credential : MD
Telephone Number : 252-522-7141
Provider Enumeration Date : 09/07/2005
Last Update Date : 03/17/2018

Similar Medicare Providers

1467455329 — DR. PREECHA BHOTIWIHOK MD
Practice Location Address:
100 AIRPORT RD
KINSTON, NC
28501-1604
Practice Phone: 800-277-8151
Practice Fax: 336-841-6217
1922092980 — DAVID BRUCE BAIRD MD
Practice Location Address:
100 AIRPORT RD
KINSTON, NC
28501-1604
Practice Phone: 252-522-7141
Practice Fax:
1700870771 — DR. MICHEL GEORGE HADDAD MD
Practice Location Address:
100 AIRPORT RD
KINSTON, NC
28501-1604
Practice Phone: 252-522-7141
Practice Fax:
1548254527 — DR. CRAIG HAROLD STEFFEE MD
Practice Location Address:
100 AIRPORT RD
KINSTON, NC
28501-1604
Practice Phone: 252-522-7141
Practice Fax:
1255328753 — DR. JACQUELINE THOMPSON M.D.
Practice Location Address:
INTEGRATED WOUND SPECIALIST OF NORTH CAROLINA, PLLC , 100 AIRPORT RD
KINSTON, NC - NORTH CAROLINA
28501-1604
Practice Phone: 252-775-5920
Practice Fax:
1609832369 — PREECHA BHOTIWIHOK MD, PA
Practice Location Address:
100 AIRPORT RD
KINSTON, NC
28501-1604
Practice Phone: 800-277-8151
Practice Fax: 336-841-6217

Directions to “PATHOLOGY ASSOCIATES OF KINSTON PA ” Practice Location

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