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1447901889
PROVIDENCE IMAGING, LLC
MACON, GA
NPI
1447901889
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Entity Type
Organization
Authorized Contact
TONYA STOKES
CEO
850-562-1656
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
PROVIDENCE IMAGING, LLC
1760 BASS RD STE 120
MACON, GA 31210-1061
Phone number: 850-562-1656
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Mailing Address
PROVIDENCE IMAGING, LLC
5016 NELLY LN
TALLAHASSEE, FL 32303-8284
Phone number:
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