Organization
CENTER FOR SPINE JOINT AND NEUROMUSCULAR REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SON D LE MD (OWNER)
(615) 504-4838
Entity
Organization
Contact information
Practice address
397 WALLACE ROAD, BLDG. C, SUITE 206, NASHVILLE, TN 37211
(615) 872-9966
(615) 872-9967
Mailing address
5651 FRIST BLVD, SUITE 712, HERMITAGE, TN 37076
(615) 872-9966
(615) 872-9967
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377082
—
TN
Enumeration date
03/04/2014
Last updated
04/22/2014
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