Provider First Line Business Practice Location Address:
9330 MEDICAL PLAZA DRIVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29418-9195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-797-4179
Provider Business Practice Location Address Fax Number:
843-797-4296
Provider Enumeration Date:
03/09/2006