Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeastern Dermatopathology, LLC

Organization Clinical Medical Laboratory · NPI 1932497492

Southeastern Dermatopathology, LLC is a Clinical Medical Laboratory in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1067 Windermere Xing
Cumming, GA 30041-6104
Phone: (205) 910-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 47704 (GA)

Record details

NPI number1932497492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Molly Bouldin — Laboratory Director · (205) 910-6852
NPI enumeratedJuly 19, 2011
Last updated in NPPESJuly 19, 2011
Mailing address1067 Windermere Xing, Cumming, GA 30041-6104

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