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Organization

SOUTHERN SPINE CENTER PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAREK G ELALAYLI M.D. (M.D. PRESIDENT)
(615) 885-0200
Entity
Organization

Contact information

Practice address
5651 FRIST BLVD, SUITE 409, HERMITAGE, TN 37076-2054
(615) 885-0200
(615) 885-0267
Mailing address
5651 FRIST BLVD, SUITE 409, HERMITAGE, TN 37076-2054
(615) 885-0200
(615) 885-0267

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/09/2007
Last updated
04/20/2008
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  • EDI platform