Organization
SOUTHEASTERN PATHOLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK E GODBEY MD (PRESIDENT)
(912) 261-2669
Entity
Organization
Contact information
Practice address
1000 BUSINESS CENTER DR, SUITE 130, SAVANNAH, GA 31405-1326
(912) 927-9715
(912) 927-9950
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197742702A
—
GA
Enumeration date
05/22/2008
Last updated
03/23/2011
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