Organization
SOUTHERN DIAGNOSTIC PATHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN XIE (AUTHORIXED OFFICIAL)
(626) 350-0537
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4872
(478) 751-7455
Mailing address
1111 S FREEPORT PKWY, COPPELL, TX 75019-4435
(866) 588-3280
(972) 767-0225
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
03/17/2026
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