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Organization

SPN - DIRECT, LLC

Active
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Organization

SPN - DIRECT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
500 RIVERHILLS BUSINESS PARK STE 500, BIRMINGHAM, AL 35242-5039
(717) 972-1100
Mailing address
4714 GETTYSBURG ROAD, LEGAL - REGULATORY DEPT, MECHANICSBURG, PA 17055
(717) 972-1100

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/20/2018
Last updated
07/20/2018
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