South Alabama Diagnostic Imaging Pc, NPI 1437332947
Diagnostic Radiology Physician in Bonifay, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1437332947
NPI Entity Type Organization
Provider Name South Alabama Diagnostic Imaging Pc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2600 Hospital Dr, Bonifay, FL, US
Provider Mailing Address Po Box 1928, Bainbridge, GA, US, 398181928
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD John C Tomberlin
Official Position RADIOLOGIST
Phone 334-684-7156

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. ME60438
License State FL
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Other Organization Name

John C Tomberlin
Doing Business As

Business Address

South Alabama Diagnostic Imaging Pc
2600 Hospital Dr

Bonifay, FL, US

Phone: 334-684-7156

Mailing Address

South Alabama Diagnostic Imaging Pc
Po Box 1928
Bainbridge, GA, US
ZIP 398181928
Phone: 334-684-3655
Fax: 334-684-3312

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
047944603 FL MEDICAID 05
047944604 FL MEDICAID 05
047944602 FL MEDICAID 05

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