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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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