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NPI Code Detail

MEDICARE: MOUNTAIN PATHOLOGY SERVICES PA

MEDICARE: MOUNTAIN PATHOLOGY SERVICES 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
3CE1406OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102659OTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710937958
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN PATHOLOGY SERVICES PA
Provider Business Mailing Address
First Line : PO BOX 409
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-0409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 68 HOSPITAL RD
Second Line :
City : SYLVA
State : NC
Zip : 28779-2722
Country : US
Telephone Number : 828-586-7114
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM LAWRENCE SELBY
Credential : MD
Telephone Number : 828-586-7114
Provider Enumeration Date : 05/10/2006
Last Update Date : 06/12/2013

Similar Medicare Providers

1033061494 — GAVIN HOPKINS CRNA
Practice Location Address:
68 HOSPITAL RD
SYLVA, NC
28779-2722
Practice Phone: 828-586-7000
Practice Fax:
1902802929 — FRANCIS RICHARD NULLET MD
Practice Location Address:
68 HOSPITAL RD , SUITE 201
SYLVA, NC
28779-2722
Practice Phone: 828-586-7654
Practice Fax: 828-586-7655
1457345902 — MR. DAVID R DENNISON MD
Practice Location Address:
68 HOSPITAL RD
SYLVA, NC
28779-2722
Practice Phone: 828-586-7428
Practice Fax: 828-586-7427
1710948799 — DR. DAVID MATTHEW BEAMAN SMITH MD
Practice Location Address:
68 HOSPITAL RD
SYLVA, NC
28779-2722
Practice Phone: 828-586-7000
Practice Fax: 828-586-7467
1164471579 — WILLIAM LAWRENCE SELBY MD
Practice Location Address:
68 HOSPITAL RD
SYLVA, NC
28779-2722
Practice Phone: 540-586-7114
Practice Fax:
1811948292 — JOHN SAMUEL DAVIS MD
Practice Location Address:
68 HOSPITAL RD
SYLVA, NC
28779-2722
Practice Phone: 828-586-7114
Practice Fax:

Directions to “MOUNTAIN PATHOLOGY SERVICES PA ” Practice Location

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