| Southeastern Spine and Pain | |
|
1067 Peachtree St Louisville GA 30434-1558 | |
| (912) 542-0444 | |
| (833) 639-1102 |
| Full Name | Southeastern Spine and Pain |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1067 Peachtree St, Louisville, Georgia |
| Authorized Official Name and Position | Michael S Hester (CEO) |
| Authorized Official Contact | 9123699400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Spine and Pain 1067 Peachtree St Louisville GA 30434-1558 | Southeastern Spine and Pain 1067 Peachtree St Louisville GA 30434-1558 Ph: (912) 542-0444 |
| NPI Number | 1952035198 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952035198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
Medical-care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree St, Louisville, GA 30434 Phone: 478-625-7597 |
Southcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree St, Louisville, GA 30434 Phone: 478-625-7597 Fax: 478-625-8364 |
Physicians' Health Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1067 Peachtree St, Louisville, GA 30434 Phone: 478-625-7000 Fax: 478-625-8907 |
Karen Butler, MD, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Us Highway 1 Byp S, Louisville, GA 30434 Phone: 478-494-8389 |
Firoz Patka MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree Street, Louisville, GA 30434 Phone: 478-625-3743 Fax: 478-625-8361 |