| NPI | 1790712214 |
|---|---|
| Doing Business As | THE SPINE DIAGNOSTIC AND PAIN TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DANETTE TAYLOR CARGIL Operations Manager 225-769-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 17228) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-11-23 |