Organization
THE SPINE AND MIGRAINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE GROSS (DIRECTOR OF REVENUE CYCLE)
(214) 615-5168
Entity
Organization
Contact information
Practice address
9456 JEFFERSON HWY STE B, BATON ROUGE, LA 70809-2883
(214) 615-5168
Mailing address
PO BOX 3837, CAROL STREAM, IL 60132-3837
(214) 615-5168
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231723
LA
Other
Enumeration date
11/27/2012
Last updated
12/06/2012
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