OrganizationActive
Medical Diagnostics Inc.
NPI 1154372035 · Radiology Clinic/Center · Moultrie, GA
Provider details
- NPI number
- 1154372035
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Earl Tucker, President
Practice location
1401 S Main St
Moultrie, GA 31768-5811
Phone: (229) 985-1515
Fax: (229) 890-5360
Mailing address
1401 S Main St
Moultrie, GA 31768-5811
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.