Individual
PATRICK E GODBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, INC., BRUNSWICK, GA 31525
(912) 279-1900
(912) 261-0753
Mailing address
PO BOX 30309, CHARLESTON, SC 29417
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
024815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000293829
—
GA
05
—
000293829B
—
GA
05
—
000293829D
—
GA
05
—
000293829E
—
GA
05
—
000293829H
—
GA
05
—
000293829S
—
GA
Enumeration date
12/06/2005
Last updated
12/10/2010
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