Organization
SOUTHEASTERN PATHOLOGY ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK GODBEY M.D. (MEDICAL DIRECTOR)
(912) 261-2669
Entity
Organization
Contact information
Practice address
3011 HAMPTON AVE, BRUNSWICK, GA 31520-4264
(888) 261-2671
Mailing address
315 W BURNAM RD, COLUMBIA, MO 65203-3564
(573) 268-6919
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
059386
GA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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