Organization
MEDICAL DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL FRANKLIN TUCKER RDCS, RVT, RVS, RCS (PRESIDENT)
(229) 985-1515
Entity
Organization
Contact information
Practice address
1401 S MAIN ST, MOULTRIE, GA 31768-5811
(229) 985-1515
(229) 890-5360
Mailing address
1401 S MAIN ST, MOULTRIE, GA 31768-5811
(229) 985-1515
(229) 890-5360
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00375955A
—
GA
Enumeration date
05/15/2006
Last updated
08/22/2020
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