Organization
PROFESSIONAL PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK E GODBEY MD (OWNER)
(912) 261-2669
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 1500 B, AIKEN, SC 29801-6810
(803) 335-2488
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA3270
RAILROAD MEDICARE
SC
05
—
PA6029
—
SC
Enumeration date
09/20/2006
Last updated
07/03/2013
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