Southeastern Pathology Associates Pc, NPI 1821104704
Anatomic Pathology & Clinical Pathology Physician in Brunswick, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1821104704
NPI Entity Type Organization
Provider Name Southeastern Pathology Associates Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 203 Indigo Dr, Brunswick, GA, US
Provider Mailing Address 203 Indigo Dr, Brunswick, GA, US, 315256865
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Patrick E Godbey
Official Position PRESIDENT
Phone 912-261-2669

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207ZP0102X

Taxonomy Name Anatomic Pathology & Clinical Pathology Physician
Classification

Pathology

Group

Allopathic & Osteopathic Physicians

Description A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

Southeastern Pathology Associates Pc
203 Indigo Dr

Brunswick, GA, US

Phone: 912-261-2669
Fax: 912-261-0753

Mailing Address

Southeastern Pathology Associates Pc
203 Indigo Dr
Brunswick, GA, US
ZIP 315256865
Phone: 912-261-2669
Fax: 912-261-0561

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

291U00000X

Laboratories

Clinical Medical Laboratory

063012 GA No

291U00000X

Laboratories

Clinical Medical Laboratory

800015943 FL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
030707600 FL MEDICAID 05
197742702B GA MEDICAID 05
031806000 FL MEDICAID 05
04485 GA BSGA GROUP 01
197742702A GA MEDICAID 05
030703300 FL MEDICAID 05
38374 FL BSFL GROUP 01

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1386307460

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Organization

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Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

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