# SPINE CIN OF BATON ROUGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801394176
- **Authorized official:** JOHN HANNON (SVP, MARKETING AND COMMUNICATIONS)
- **Authorized official phone:** (615) 386-0064

## Contact information

- **Practice address:** 9655 PERKINS RD STE C-217, BATON ROUGE, LA 70810-1533
- **Practice address phone:** (615) 386-0064
- **Practice address fax:** (615) 386-0067
- **Mailing address:** 102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
- **Mailing address phone:** (615) 386-0064
- **Mailing address fax:** (615) 386-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | LA | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | LA | — |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 01/12/2022