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Organization
PROVIDENCE IMAGING, LLC
Active
Organization
PROVIDENCE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA STOKES (CEO)
(850) 562-1656
Entity
Organization
Contact information
Practice address
1760 BASS RD STE 102, MACON, GA 31210-1098
(478) 259-6051
(478) 259-2124
Mailing address
5016 NELLY LN, TALLAHASSEE, FL 32303-8284
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
07/30/2025
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