DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHEASTERN PATHOLOGY ASSOCIATES PC

MEDICARE: SOUTHEASTERN PATHOLOGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992963268
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEASTERN PATHOLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 203 INDIGO DR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-6865
Country : US
Telephone Number : 888-261-2671
Fax Number : 912-261-0561
Provider Business Practice Location Address
First Line : 203 INDIGO DR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-6865
Country : US
Telephone Number : 912-261-2669
Fax Number : 912-261-0753
Authorized Official
Title or Position : PRESIDENT
Name : DR. PATRICK E GODBEY
Credential : MD
Telephone Number : 912-261-2669
Provider Enumeration Date : 05/23/2008
Last Update Date : 11/30/2017

Similar Medicare Providers

1619951258 — MARK G HANLY MBCHB, FRCPATHLOND
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax: 912-261-0561
1932175452 — DR. DAVID E. MARTIN MD
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax: 912-261-0561
1821104704 — SOUTHEASTERN PATHOLOGY ASSOCIATES PC
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax: 912-261-0753
1043427636 — NINGXING CHEN D.O.
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax:
1982883138 — OLGA FUNDYLER TATE M.D.
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax:
1053591602 — RENA BURLINGAME RENGO MD
Practice Location Address:
203 INDIGO DR
BRUNSWICK, GA
31525-6865
Practice Phone: 912-261-2669
Practice Fax:

Directions to “SOUTHEASTERN PATHOLOGY ASSOCIATES PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.