Carolyn Kinzer-Bezanson Wall, MD
Carolyn Kinzer-Bezanson Wall, MD is a Pathology in Brunswick, Georgia. Graduated from Medical College of Georgia School of Medicine in 1992, 34 years ago. Practices with Southeastern Pathology Associates PC, a 44-clinician group and accepts Medicare assignment. Licensed in Alabama, Florida, Georgia and Louisiana and 1 more.
- Years since qualifying
- 34
- Trained at
- Medical College of Georgia School of Medicine
- Licensed in
- AL, FL, GA, LA, SC
- In the registry since
- 2005
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
203 Indigo Drive Southeastern Pathology Associates PcBrunswick, GA 31525
Phone: (912) 279-1900
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 · Licence 038275 (GA) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence ME85489 (FL) |
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence MD29387 (SC) |
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence MD317652 (AL) |
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence MD.12093R/INACTIVE (LA) |
Record details
| NPI number | 1124002712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 6, 2005 |
| Last updated in NPPES | December 5, 2014 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduated | 1992 (34 years in practice) |
| Group practice | Southeastern Pathology Associates Pc — 44 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 13 on file with Medicare |
Other providers in Brunswick
-
Southeastern Pathology Associates PC
203 Indigo Dr, Brunswick, GA 31525-6865 · (912) 261-2669
-
Southeastern Pathology Associates PC
203 Indigo Dr, Brunswick, GA 31525-6865 · (912) 261-2669
-
Dr. Janna Marie Summerall-Smith, MD
3011 Hampton Ave, Brunswick, GA 31520-4264 · (912) 261-2669
-
Olga Fundyler Tate, MD
203 Indigo Dr, Brunswick, GA 31525-6865 · (912) 261-2669
-
Shyamala Yennam, MD
203 Indigo Dr, Brunswick, GA 31525-6865 · (912) 261-2669