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SPENCER SPINE SPECIALISTS LLC NPI 1902173610


NPI Information

NPI: 1902173610
Provider Name: SPENCER SPINE SPECIALISTS LLC

Doing Business As: HEALTHSOURCE OF ST. SIMONS ISLAND

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
132 RETREAT PLZ
SUITE B
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-2245
Get Directions

SPENCER SPINE SPECIALISTS LLC is a chiropractor in St Simons Island, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SPENCER SPINE SPECIALISTS LLC NPI is 1902173610. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Of St. Simons Island.

The provider's business location address is:

132 RETREAT PLZ
SUITE B
ST SIMONS ISLAND, GA
ZIP 31522-653
Phone: (912) 634-2245
Fax: (912) 634-8780

The provider's authorized official is Ashleigh Spencer .
The authorized official title is Owner and has the following contact phone number (912) 634-2245.

The enumeration date for this NPI number is 11/23/2011 and was last updated on 2/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3100SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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