Southeast Spine Center, LLC
Southeast Spine Center, LLC is a Physical Medicine & Rehabilitation Physician in Baton Rouge, Louisiana. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17431 Jefferson Hwy Ste ABaton Rouge, LA 70817-7484
Phone: (225) 753-6333
Fax: (225) 753-6336
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
Record details
| NPI number | 1295008712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Ivanicky — Owner/President · (225) 753-6333 |
| NPI enumerated | February 14, 2012 |
| Last updated in NPPES | February 14, 2012 |
| Mailing address | 17431 Jefferson Hwy, Suite A, Baton Rouge, LA 70817-7484 |
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