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

Southeastern Pathology, PC

Organization Cytopathology Physician · NPI 1508848300

Southeastern Pathology, PC is a Cytopathology Physician in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
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

311 W 8th St NE
Rome, GA 30165-2723
Phone: (706) 291-8702
Fax: (706) 291-6514
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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 · Licence 11D0256839 (GA)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 11D0256839 (GA)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 11D0256839 (GA)

Record details

NPI number1508848300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Burkhalter — Office Manager · (706) 314-0120
NPI enumeratedNovember 17, 2005
Last updated in NPPESJanuary 14, 2010
Mailing address311 W 8th St Ne, Rome, GA 30165-2723

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