IndividualActive
Mia Luke, R MR
NPI 1497182455 · Magnetic Resonance Imaging Radiologic Technologist · Tifton, GA
Provider details
- NPI number
- 1497182455
- Entity type
- Individual
- Primary specialty
- Magnetic Resonance Imaging Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R MR
- Sex
- Female
- Sole proprietor
- No
- License
- 409616 (GA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
1401 Tift Ave N
Ste E
Tifton, GA 31794-3585
Phone: (229) 387-6799
Fax: (229) 387-6791
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Tift Ave N
Tifton, GA 31794-3585
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2013-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.