Spine Clinic of Baton Rouge
NPI #1477689305 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1477689305
- Entity Type
- Organization
- Organization Name
- Spine Clinic of Baton Rouge
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5211 ESSEN LN
- Address 2
- SUITE 1
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70809-3564
- Phone
- (225) 766-5050
Authorized Official
- Name
- MR. GEORGE JOHN IVANICKY
- Title
- OWNER
- Phone
- (225) 766-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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