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Organization
MEDICAL DIAGNOSTICS OF STATESBORO LLC
Active
Organization
MEDICAL DIAGNOSTICS OF STATESBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE GABRIEL PRITCHETT BS,RDCS,RDMS,RVT (MANAGER)
(912) 681-2848
Entity
Organization
Contact information
Practice address
1601 FAIR RD, SUITE 1100, STATESBORO, GA 30458-1698
(912) 681-2848
(912) 681-2850
Mailing address
1601 FAIR RD, SUITE 1100, STATESBORO, GA 30458-1698
(912) 681-2848
(912) 681-2850
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
10/16/2007
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