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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