OrganizationActive
Eastside Pathology PC
NPI 1831290915 · Anatomic Pathology & Clinical Pathology Physician · Snellville, GA
Provider details
- NPI number
- 1831290915
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edwin Nunnery, President(770) 979-0200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 Medical Way
Pathology Dept
Snellville, GA 30078
Phone: (770) 979-0200
Street-level locationGet directions
Mailing address
Po Box 1457
Bluefield, WV 24701-1457
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2009-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.