| NPI | 1134943459 |
|---|---|
| Doing Business As | SOUTHEASTERN SPINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LEEA WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |