Southern Spine Center Plc

NPI #1982745014 in Hermitage, Tennessee

Provider Information

NPI Number: 1982745014
Entity Type: Organization
Organization Name: Southern Spine Center Plc
Primary Specialty: Specialist
Enumeration Date: Feb 9, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 5651 FRIST BLVD
Address 2: SUITE 409
City: Hermitage
State: Tennessee
ZIP Code: 37076-2054
Phone: (615) 885-0200

Authorized Official

Name: TAREK G ELALAYLI, M.D.
Title: M.D. PRESIDENT
Phone: (615) 885-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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