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General NPI Number Information
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NPI Number | 1154202810
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Entity Type | Organization
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Legal Business Name | CLINICAL DIAGNOSTIC SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 506 HILL ST
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City | WAYCROSS
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State | GA
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Zip | 31501-3323
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Country | US
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Telephone | 912-406-2237
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Fax | 339-207-0790
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Provider Business Mailing Address
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Address Line | 506 HILL ST
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City | WAYCROSS
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State | GA
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Zip | 31501-3323
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Country | US
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Telephone | 912-406-2237
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Fax | 339-207-0790
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ERIC SPIRES BELCHER
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Credential | MD, AAHIVS
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Telephone | 912-406-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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