| Southeastern Spine and Pain | |
|
2520 University Dr Thomson GA 30824-0040 | |
| (912) 542-0444 | |
| (833) 639-1102 |
| Full Name | Southeastern Spine and Pain |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2520 University Dr, Thomson, 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 2520 University Dr Thomson GA 30824-0040 | Southeastern Spine and Pain 2520 University Dr Thomson GA 30824-0040 Ph: (912) 542-0444 |
| NPI Number | 1841924081 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841924081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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