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

Spine Center of Southeast Georgia LLC

Organization Interventional Pain Medicine Physician · NPI 1639270903

Spine Center of Southeast Georgia LLC is an Interventional Pain Medicine Physician in Brunswick, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7921
Phone: (912) 262-6552
Fax: (912) 262-0112
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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 number1639270903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaneka Tinch — Rcm Manager · (469) 458-9222
Other names Brunswick Pain Clinic; Brunswick Pain Clinic
NPI enumeratedSeptember 26, 2006
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address4960 Sw 72nd Ave Ste 405, Miami, FL 33155-5506

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