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Organization

SPINE HEADACHE AND PAIN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUNTER PERRET (CEO)
(337) 233-1114
Entity
Organization

Contact information

Practice address
1301 CAMELLIA BLVD, STE 400, LAFAYETTE, LA 70508-7089
(337) 233-1114
Mailing address
PO BOX 51782, LAFAYETTE, LA 70505-1782

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
11/29/2016
Last updated
11/30/2016
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