# SOUTHEASTERN PATHOLOGY ASSOCIATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558577346
- **Authorized official:** DR. PATRICK GODBEY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (912) 261-2669

## Contact information

- **Practice address:** 3011 HAMPTON AVE, BRUNSWICK, GA 31520-4264
- **Practice address phone:** (888) 261-2671
- **Mailing address:** 315 W BURNAM RD, COLUMBIA, MO 65203-3564
- **Mailing address phone:** (573) 268-6919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 059386 | GA | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020
