Christopher J Kligora (NPI# 1588667380, PAC ID# 1759363120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1588667380 |
| PAC ID by PECOS | 1759363120 |
| Professional Enrollment ID | I20040824000689 |
| Full Name | Christopher J Kligora |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY, P.C. |
| Address |
311 W 8th St Rome GA 30165-2723 |
| Phone Number | 7062918702 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1996 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4183617988 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| 010012 | DEKALB REGIONAL MEDICAL CENTER |
| 010022 | CHEROKEE MEDICAL CENTER |
| 111330 | POLK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Medical Ctr Swdr, Fort Payne, AL 35968-3458 | 2568453150 | SOUTHEASTERN PATHOLOGY, P.C. |
| 311 W 8th St, Rome, GA 30165-2723 | 7062918702 | SOUTHEASTERN PATHOLOGY, P.C. |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY, P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Hom | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Susan E Shirley | Pathology | Southeastern Pathology, P.C. | 200 Medical Ctr Swdr, Fort Payne, AL 35968-3458 |
| Richard D Fernandez | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Kara L Duncan | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Frederick K Swiger Jr. | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Paul B Hillesheim | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Street Address |
311 W 8TH ST |
| City | ROME |
| State | GA |
| Zip | 30165-2723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Hom | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Richard D Fernandez | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Kara L Duncan | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Frederick K Swiger Jr. | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Paul B Hillesheim | Pathology | Southeastern Pathology, P.C. | 311 W 8th St, Rome, GA 30165-2723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | PATHOLOGY |
| City + Specialty | ROME + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.