SPINE SPECALITY CENTER PLLC NPI 1710088463

NPI Information

NPI: 1710088463
Provider Name: SPINE SPECALITY CENTER PLLC
Classification: Clinical Nurse Specialist - 364SM0705X
Entity Type: Organization

Specialization: Medical-Surgical

Address:
6005 PARK AVE
SUITE 400
MEMPHIS, TN
ZIP 38119
Phone: (901) 767-9500
Get Directions

SPINE SPECALITY CENTER PLLC is a medical-surgical clinical nurse specialist in Memphis, TN. SPINE SPECALITY CENTER PLLC NPI is 1710088463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6005 PARK AVE
SUITE 400
MEMPHIS, TN
ZIP 38119-202
Phone: (901) 767-9500

The provider's authorized official is Douglas A Linville .
The authorized official title is Owner and has the following contact phone number (901) 767-9500.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/25/2013.

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
1	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	1772	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EXEMPT	MEDICARE UPIN
2	3726011	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE GROUP

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: 11/14/2023

NPI Synchronization or Removal

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