Organization
SOUTHEASTERN PATHOLOGY ASSOCIATES PC
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
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0753
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(888) 261-2671
(912) 261-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197742702B
—
GA
Enumeration date
05/23/2008
Last updated
11/30/2017
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