Rose P Draviam (NPI# 1205810884, PAC ID# 8426188590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1205810884 |
| PAC ID by PECOS | 8426188590 |
| Professional Enrollment ID | I20100616000539 |
| Full Name | Rose P Draviam |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Address |
3215 Shrine Rd Suite 2 Brunswick GA 31520-4300 |
| Phone Number | 9122612669 |
| Gender | F |
| Graduation Year | 1970 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890781371 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3215 Shrine Rd, Suite 2, Brunswick, GA 31520-4300 | 9122612669 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 3215 Shrine Rd, Brunswick, GA 31520-4300 | 9122612669 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yumi Angerica Kojima | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Janet O Hon | Pathology | Southeastern Pathology Associates PC | 801 Oak St, Green Cove Springs, FL 32043-4317 |
| Ningxing Chen | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| David A Holloman | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| James H Hudson | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Shyamala Yennam | Pathology | Southeastern Pathology Associates PC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Tatiana Vasylievna Barsukova | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Gerson Paull | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Thuy L Penedo | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Robert K Wade | Pathology | Southeastern Pathology Associates PC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Street Address |
3215 SHRINE RD SUITE 2 |
| City | BRUNSWICK |
| State | GA |
| Zip | 31520-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Vandevelde | Optometry | John E Imhoff Md PC | 3215 Shrine Rd, Suite 6, Brunswick, GA 31520-4300 |
| Clyde Kent Price | Ophthalmology | John E Imhoff Md PC | 3215 Shrine Rd, Suite 6, Brunswick, GA 31520-4300 |
| John E Imhoff | Ophthalmology | John E Imhoff Md PC | 3215 Shrine Rd, Suite 6, Brunswick, GA 31520-4300 |
| Ralph W Swann Jr. | Dermatology | 3215 Shrine Rd, Brunswick, GA 31520-4300 | |
| Megan E Thomas | Speech Language Pathologist | Speech Clinic LLC | 3215 Shrine Rd, Suite 12, Brunswick, GA 31520-4300 |
| Eleonora Savitchi | Pathology | Southeastern Pathology Associates PC | 3215 Shrine Rd, Brunswick, GA 31520-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
| Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
| Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
| Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
| Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Find all physicians in zip 31520 | |||
| City | BRUNSWICK |
| Zip Code | 31520 |
| Specialty | PATHOLOGY |
| City + Specialty | BRUNSWICK + PATHOLOGY |
Please comment or provide details below to improve the information on Rose P Draviam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.