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NPI Code Detail

MEDICARE: YORK PATHOLOGY ASSOCIATES PA

MEDICARE: YORK PATHOLOGY ASSOCIATES 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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699767194
Entity Type Code : Organization
Provider Name (Legal Business Name) : YORK PATHOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 6426
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24068-6426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HERLONG AVE
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1158
Country : US
Telephone Number : 803-329-1234
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES L. MAYNARD
Credential : MD
Telephone Number : 803-329-1234
Provider Enumeration Date : 08/19/2005
Last Update Date : 09/21/2007

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Practice Location Address:
222 HERLONG AVE S
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29732-1158
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1215929757 — EVERETTE EARL JENKINS JR. MD
Practice Location Address:
222 S HERLONG AVE
ROCK HILL, SC
29732-1158
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1679565196 — JAMES LEWIS MAYNARD MD
Practice Location Address:
222 S HERLONG AVE
ROCK HILL, SC
29732-1158
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Practice Fax:
1467444919 — ROBERT EARL THOMAS JR. MD
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Directions to “YORK PATHOLOGY ASSOCIATES PA ” Practice Location

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