| NPI | 1841708716 |
|---|---|
| Former Legal Business Name | SPINE CIN OF SAN DIEGO LLC |
| Entity Type | Organization |
| Authorized Contact | EDWARD LELAND HUTTON EADIE Director 615-733-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2020-02-13 |