SOUTHEAST SPINE CENTER LLC NPI 1982044707

NPI Information

  • NPI: 1982044707
  • Provider Name: SOUTHEAST SPINE CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 7450 SKIDAWAY RD
    SAVANNAH, GA
    ZIP 31406
  • Phone: (912) 233-6811

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NPI Details

SOUTHEAST SPINE CENTER, LLC is an ambulatory surgical clinic center in Savannah, GA. SOUTHEAST SPINE CENTER, LLC NPI is 1982044707. The provider is registered as an organization entity type.

The provider's business location address is:

7450 SKIDAWAY RD
SAVANNAH, GA
ZIP 31406-446
Phone: (912) 233-6811
Fax: (912) 544-0864

The provider's authorized official is Ortelio Bosch .
The authorized official title is Owner and has the following contact phone number (912) 233-6811.

The enumeration date for this NPI number is 6/25/2013 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
1261QA1903XClinic/CenterAmbulatory Surgical051119GEORGIAYes

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: 11/21/2025

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