DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ETOWAH PATHOLOGY ASSOCIATES LLC

MEDICARE: ETOWAH PATHOLOGY ASSOCIATES LLC
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 Physician034648GA

General Provider Information

NPI Number : 1134189491
Entity Type Code : Organization
Provider Name (Legal Business Name) : ETOWAH PATHOLOGY ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 30309
Second Line :
City : CHARLESTON
State : SC
Zip : 29417-0309
Country : US
Telephone Number : 843-544-9300
Fax Number : 843-566-8780
Provider Business Practice Location Address
First Line : 960 JOE FRANK HARRIS PKWY SE
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30120-2129
Country : US
Telephone Number : 770-382-1530
Fax Number : 770-387-8198
Authorized Official
Title or Position : PARTNER
Name : DR. DAN WIENER
Credential : MD
Telephone Number : 770-382-1530
Provider Enumeration Date : 03/23/2006
Last Update Date : 06/20/2018

Similar Medicare Providers

1689058398 — DR. ADUGNAW BEKELE MD
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 470-490-2142
Practice Fax:
1760472104 — CARTERSVILLE PHYSICIAN PRACTICE NETWORK, INC
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 770-382-1530
Practice Fax: 770-606-2127
1740265677 — KYONGCHOL KIM MD
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 470-490-2142
Practice Fax:
1689634362 — DR. CHRIS ALLEN CLARK MD
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 770-382-1530
Practice Fax: 770-387-8198
1376503086 — DR. DAVID GRANT LOVELL MD
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 770-382-1530
Practice Fax: 770-387-8198
1053371757 — DR. DAN WIENER MD
Practice Location Address:
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA
30120-2129
Practice Phone: 770-382-1530
Practice Fax: 770-387-8198

Directions to “ETOWAH PATHOLOGY ASSOCIATES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.