Organization
SPINAL REGENERATION CENTER OF LA, LLC
Active
Organization
SPINAL REGENERATION CENTER OF LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA SAYLES (CREDENTIALING AUDITOR)
(864) 642-0884
Entity
Organization
Contact information
Practice address
2225 N HULLEN ST, METAIRIE, LA 70001-1929
(504) 944-3030
Mailing address
70380 HIGHWAY 21 STE 2, COVINGTON, LA 70433-8128
(504) 577-3035
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
03/12/2019
Last updated
01/17/2024
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