Organization
T-RAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY B TABOR MD (PRESIDENT)
(256) 435-4970
Entity
Organization
Contact information
Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3369
(256) 435-4970
Mailing address
PO BOX 117, CULLMAN, AL 35056-0117
(256) 737-9828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912460
—
AL
Enumeration date
10/10/2008
Last updated
10/10/2008
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