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Organization

NEUROSPINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANICE C CARSWELL STEWART (DIRECTOR OF OPERATIONS)
(301) 364-9010
Entity
Organization

Contact information

Practice address
8230 BOONE BLVD, SUITE 360, VIENNA, VA 22182-2621
(703) 889-8959
(703) 370-0706
Mailing address
8230 BOONE BLVD, SUITE 360, VIENNA, VA 22182-2621
(703) 889-8959
(703) 370-0706

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101254853
VA

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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