| Organization Name: | ADVANCED SPINE & THERAPY SERVICES, LLC |
| NPI Number: | 1235557620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY FULLER (OFFICE MANAGER) |
| Mailing Address: | 627 Saraland Blvd S Saraland |
| State: | AL US |
| Postal Code: | 365713633 |
| Phone Number: | 2512467333 |
| Fax Number: | 2512467249 |
| NPI Enumeration Date: | 04/02/2014 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |