Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Kinzer-Bezanson Wall, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1124002712

Carolyn Kinzer-Bezanson Wall, MD practises 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.

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Practice location Address checks out

203 Indigo Drive Southeastern Pathology Associates Pc
Brunswick, GA 31525 Not confirmed with CMS for 11 years — call before visiting
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 number1124002712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESDecember 5, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL 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 locations13 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients757
Services billed 1,495 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Southeastern Pathology Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 44 clinicians in the practice; 12 are shown here.

Other providers in Brunswick