Southern Spine & Rehab, Pllc

NPI #1083254734 in Marion, Illinois

Provider Information

NPI Number
1083254734
Entity Type
Organization
Organization Name
Southern Spine & Rehab, Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Jan 10, 2020
Last Updated
Feb 5, 2025

Practice Location

Address
1616 W MAIN ST STE 200
City
Marion
ZIP Code
62959-1146
Phone
(618) 772-2999

Authorized Official

Name
KOLTEN PEDIGO
Title
OWNER
Phone
(618) 772-2999

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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