Provider Demographics
NPI:1902339898
Name:PEJCHAL, MARTINA (MD)
Entity type:Individual
Prefix:
First Name:MARTINA
Middle Name:
Last Name:PEJCHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 EAST CHEVES ST
Mailing Address - Street 2:PATHOLOGY DEPT/PEE DEE PATHOLOGY
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506
Mailing Address - Country:US
Mailing Address - Phone:724-234-0596
Mailing Address - Fax:
Practice Address - Street 1:555 EAST CHEVES ST
Practice Address - Street 2:PATHOLOGY DEPT/PEE DEE PATHOLOGY
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506
Practice Address - Country:US
Practice Address - Phone:724-234-0596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC93057207ZP0102X
NC2020-02250207ZP0102X
PAMD460243207ZP0102X
MA272542207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology