THE SPINE TREATMENT CENTERLLC NPI 1225064363

NPI Information

NPI: 1225064363
Provider Name: THE SPINE TREATMENT CENTER,LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1111 GLYNCO PKWY
3RD FLOOR
BRUNSWICK, GA
ZIP 31525
Phone: (912) 262-6552
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THE SPINE TREATMENT CENTER,LLC is an ambulatory surgical clinic center in Brunswick, GA. THE SPINE TREATMENT CENTER,LLC NPI is 1225064363. The provider is registered as an organization entity type.

The provider's business location address is:

1111 GLYNCO PKWY
3RD FLOOR
BRUNSWICK, GA
ZIP 31525-921
Phone: (912) 262-6552
Fax: (912) 262-0112

The provider's authorized official is Mark A. Gold .
The authorized official title is Managing Member and has the following contact phone number (912) 262-6552.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	APPLIED	GEORGIA	Yes

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

NPI Synchronization or Removal

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