Organization
MULBERRY DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R BOROUGHS (ADMINISTRATOR)
(334) 264-9729
Entity
Organization
Contact information
Practice address
2100 CHESTNUT ST, MONTGOMERY, AL 36106-1113
(334) 264-9729
(334) 262-8224
Mailing address
2100 CHESTNUT ST, MONTGOMERY, AL 36106-1113
(334) 264-9729
(334) 262-8224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/10/2005
Last updated
08/22/2020
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