| NPI | 1104550342 |
|---|---|
| Doing Business As | SOUTHEASTERN SPINE AND PAIN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HESTER CEO 912-369-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-10-03 |