Organization
SOUTHEAST SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORTELIO BOSCH M.D. (OWNER)
(912) 233-6811
Entity
Organization
Contact information
Practice address
7450 SKIDAWAY RD, SAVANNAH, GA 31406-6446
(912) 233-6811
(912) 544-0864
Mailing address
7450 SKIDAWAY RD, SAVANNAH, GA 31406-6446
(912) 233-6811
(912) 544-0864
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
051119
GA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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