Medical Diagnostics of Statesboro LLC
NPI #1144271107 in Statesboro, Georgia
Provider Information
- NPI Number
- 1144271107
- Entity Type
- Organization
- Organization Name
- Medical Diagnostics of Statesboro LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 15, 2006
- Last Updated
- Oct 16, 2007
Practice Location
- Address
- 1601 FAIR RD
- Address 2
- SUITE 1100
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-1698
- Phone
- (912) 681-2848
Authorized Official
- Name
- MR. LANCE GABRIEL PRITCHETT, BS,RDCS,RDMS,RVT
- Title
- MANAGER
- Phone
- (912) 681-2848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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