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Organization
SOUTHERN PATHOLOGY AND LABORATORY SERVICES, PC
Active
Organization
SOUTHERN PATHOLOGY AND LABORATORY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L ZORNES MD (PRESIDENT)
(229) 931-1320
Entity
Organization
Contact information
Practice address
126 HWY 280, AMERICUS, GA 31719-8645
(229) 931-1320
Mailing address
PO BOX 6626, AMERICUS, GA 31709-6626
(229) 439-7170
(229) 431-0770
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
028340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G701169
MEDICARE GROUP NUMBER
—
Enumeration date
04/04/2006
Last updated
01/17/2014
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