Organization
SPINE MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE KLEIN (OFFICE MANAGER)
(504) 394-0001
Entity
Organization
Contact information
Practice address
4600 S CLAIBORNE AVE STE 100, NEW ORLEANS, LA 70125-5010
(504) 899-2225
(504) 899-2280
Mailing address
4600 S CLAIBORNE AVE STE 100, NEW ORLEANS, LA 70125-5010
(504) 899-2225
(504) 899-2280
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
201144
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306036942
PM&R AND INTERVENTIONAL SPINE AND PAIN MEDICINE
LA
Enumeration date
06/28/2017
Last updated
07/21/2022
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