Organization
TOTAL SPINE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUEY KIDD D.O. (MEDICAL DIRECTOR)
(334) 636-5311
Entity
Organization
Contact information
Practice address
1455 COLLEGE AVE, JACKSON, AL 36545-2410
(251) 246-7333
Mailing address
1455 COLLEGE AVE, JACKSON, AL 36545-2410
(251) 246-7333
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
12/10/2008
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