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

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1821104704

Southeastern Pathology Associates PC is an Anatomic Pathology & Clinical Pathology Physician in Brunswick, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2006.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Indigo Dr
Brunswick, GA 31525-6865
Phone: (912) 261-2669
Fax: (912) 261-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 063012 (GA)
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 800015943 (FL)

Record details

NPI number1821104704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Godbey — President · (912) 261-2669
NPI enumeratedAugust 22, 2006
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address203 Indigo Dr, Brunswick, GA 31525-6865

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