Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Center of Southeast Georgia LLC

Organization Interventional Pain Medicine Physician · NPI 1477106771

Spine Center of Southeast Georgia LLC is an Interventional Pain Medicine Physician in Kingsland, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

52A Lindsey Ln
Kingsland, GA 31548-6855
Phone: (912) 262-6552
Fax: (912) 262-0112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1477106771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaneka Tinch — Rcm Manager · (469) 458-9222
NPI enumeratedJuly 17, 2019
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address4960 Sw 72nd Ave Ste 405, Miami, FL 33155-5506