Etowah Pathology Associates LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

034648 Issued in GA

Legal business name

ETOWAH PATHOLOGY ASSOCIATES LLC

Practice address

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Phone

(770) 382-1530

Fax

(770) 387-8198

NPI assigned

Mar 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dan Wiener, MD

Title

Partner

Phone

(770) 382-1530

Specialties & licenses 1

Addresses

Other names 1

• Lovell and Clark Pathology Services LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1134189491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-544-9300",
            "fax_number": "843-566-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "770-382-1530",
            "fax_number": "770-387-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWAH PATHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-382-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "034648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovell and Clark Pathology Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Morgan Epps
• Shery Eskandar, RPH
• Andy Jesus Espinoza
• Jeffrey David Esslinger, M.D.
• Ethereal Gardens LLC
• Etowah Valley Obstetrics & Gynecology, P.C.
• Etowahcs, LLC
• Elise Audrey Eubanks
• Katherine Ann Eubanks, CRNA
• Rebecca Berrier Evans, CNM, FNP-BC

• Anatomic Pathology & Clinical Pathology Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.