SOUTHEAST SPINE & PAIN ASSOCIATES LLC NPI 1649523689

NPI Information

NPI: 1649523689
Provider Name: SOUTHEAST SPINE & PAIN ASSOCIATES LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1718 SAINT MARY ST
KNOXVILLE, TN
ZIP 37917
Phone: (865) 633-9469
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SOUTHEAST SPINE & PAIN ASSOCIATES LLC is a pain clinic center in Knoxville, TN. SOUTHEAST SPINE & PAIN ASSOCIATES LLC NPI is 1649523689. The provider is registered as an organization entity type.

The provider's business location address is:

1718 SAINT MARY ST
KNOXVILLE, TN
ZIP 37917-517
Phone: (865) 633-9469
Fax: (865) 633-9474

The provider's authorized official is Christie Lord .
The authorized official title is Credentialing/billing Manager and has the following contact phone number (865) 633-9469.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 3/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103G707028	MEDICARE PIN
2	1531106	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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