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1427050368
THAD D LONG
STATESBORO, GA
NPI
1427050368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 020769)
Enumeration Date
2005-08-11
Last Update Date
2012-08-20
Business Address
-- THAD D LONG MD
1601 FAIR RD SUITE 1100
STATESBORO, GA 30458-1698
Phone number: 678-469-0007
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Mailing Address
-- THAD D LONG MD
1601 FAIR RD SUITE 1100
STATESBORO, GA 30458-1698
Phone number: 678-469-0007
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