Organization Name: | RENAISSANCE PATHOLOGY ASSOCIATES PA |
NPI Number: | 1376648246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK SAUNDERS JORDAN (PRESIDENT) |
Mailing Address: | 117 E Kings Hwy Eden |
State: | NC US |
Postal Code: | 272885201 |
Phone Number: | 3366239711 |
Fax Number: | 3366270900 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 115326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |