Organization
SPINE CENTER OF SOUTHEAST GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
52A LINDSEY LANE, KINGSLAND, GA 31548-6855
(912) 262-6552
(912) 262-0112
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
(469) 458-9222
(540) 918-7202
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
12/08/2025
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