| Provider Type: | Allopathic & Osteopathic Physicians |
| Provider Classification: | Radiology |
| Provider Specialization: | Diagnostic Radiology |
| Definition of Specialization: | |
| Address: |
901 18th St E Tifton, GA 31794-3648 |
| Phone: | (912) 287-1515 |
| Fax: | (912) 287-1394 |
| Authorized Official: | Evans, Raymond C, MD |
| Authorized Official Position: | President |
| Authorized Official Phone: | (912) 287-1515 |
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