Organization
ALPHA IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD D LONG MD (PRESIDENT)
(912) 486-1620
Entity
Organization
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1000
Mailing address
PO BOX 348, COLUMBUS, GA 31902-0348
(864) 850-1441
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/09/2005
Last updated
06/10/2008
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