Organization
SOUTH ALABAMA DIAGNOSTIC IMAGING PC
Active
Other names
John C Tomberlin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C TOMBERLIN MD (RADIOLOGIST)
(334) 684-7156
Entity
Organization
Contact information
Practice address
2600 HOSPITAL DR, BONIFAY, FL 32425-4264
(334) 684-7156
Mailing address
PO BOX 1928, BAINBRIDGE, GA 39818-1928
(334) 684-3655
(334) 684-3312
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME60438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047944602
—
FL
05
—
047944603
—
FL
05
—
047944604
—
FL
Enumeration date
12/07/2007
Last updated
06/14/2019
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