| NPI | 1740995802 |
|---|---|
| Doing Business As | SOUTHEASTERN SPINE AND PAIN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HESTER CEO 912-369-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |