Southeastern Clinical Laboratories PA

NPI #1548224256 in Toccoa, Georgia

Provider Information

NPI Number: 1548224256
Entity Type: Organization
Organization Name: Southeastern Clinical Laboratories PA
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Apr 12, 2006
Last Updated: Apr 17, 2008

Practice Location

Address: 2003 FALLS RD
City: Toccoa
State: Georgia
ZIP Code: 30577-9700
Phone: (706) 282-4245

Authorized Official

Name: DR. JAMES ROBERT PRUITT, M.D.
Title: PRESIDENT
Phone: (706) 282-4245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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