# COMMERCE RADIOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821341272
- **Authorized official:** THAD DEWARD LONG MD (OWNER)
- **Authorized official phone:** (678) 469-0007

## Contact information

- **Practice address:** 70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
- **Practice address phone:** (706) 335-1420
- **Practice address fax:** (864) 223-1396
- **Mailing address:** 108 VENTURE CT, GREENWOOD, SC 29649-8558
- **Mailing address phone:** (864) 223-3070
- **Mailing address fax:** (864) 223-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | 020769 | GA | Yes |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 10/23/2012