Organization
SOUTH ALABAMA DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C TOMBERLIN MD (RADIOLOGIST)
(334) 684-7156
Entity
Organization
Contact information
Practice address
3015 JEFFERSON ST, SUITE E, MARIANNA, FL 32446-2339
(850) 526-2496
Mailing address
PO BOX 789, GENEVA, AL 36340-0789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME60438
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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