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11D2267237 CLIA NUMBER - SOUTHEAST GEORGIA PHYSICIAN ASSOCIATES - OBGYN

Laboratory Demographics

CLIA Number: 11D2267237

Facility Name: SOUTHEAST GEORGIA PHYSICIAN ASSOCIATES - OBGYN

Facility Address:
3025 SHRINE ROAD, SUITE 280
BRUNSWICK, GA
ZIP 31520
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Facility Phone Number: 912 466-7250

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1194750315

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 11D2267237
LAB Type Physician Office
Facility Name SOUTHEAST GEORGIA PHYSICIAN ASSOCIATES - OBGYN
Street 3025 SHRINE ROAD, SUITE 280
City BRUNSWICK
State GA
ZIP 31520
Phone 912 466-7250
CertificateType 4
CertificateEffectiveDate 8/23/2022
CertificateExpirationDate 8/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024