West Georgia Pathology, LLC
NPI #1003823196 in Carrollton, Georgia
Provider Information
- NPI Number
- 1003823196
- Entity Type
- Organization
- Organization Name
- West Georgia Pathology, LLC
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Jul 2, 2015
Practice Location
- Address
- 705 DIXIE ST
- Address 2
- ATTENTION: PATHOLOGY DEPARTMENT
- City
- Carrollton
- State
- Georgia
- ZIP Code
- 30117-3818
- Phone
- (678) 305-9046
Authorized Official
- Name
- MICHAEL C GRATTENDICK
- Title
- VICE PRESIDENT
- Phone
- (561) 626-5512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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