Organization
TECHNICAL DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH C WILSON (BILLING MANAGER)
(912) 764-5656
Entity
Organization
Contact information
Practice address
8 LESTER RD, STATESBORO, GA 30458-4786
(912) 764-5656
(912) 764-7522
Mailing address
8 LESTER RD, STATESBORO, GA 30458-4786
(912) 764-5656
(912) 764-7522
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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