Organization
THE SPINE TREATMENT CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. GOLD M.D. (MANAGING MEMBER)
(912) 262-6552
Entity
Organization
Contact information
Practice address
1111 GLYNCO PKWY, 3RD FLOOR, BRUNSWICK, GA 31525-7921
(912) 262-6552
(912) 262-0112
Mailing address
1111 GLYNCO PKWY, 3RD FLOOR, BRUNSWICK, GA 31525-7921
(912) 262-6552
(912) 262-0112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
APPLIED
GA
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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