Organization Name: | SPECIALTY CLINICS SPINE INTERVENTION, PC |
NPI Number: | 1447359112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY LEHMAN (CEO) |
Mailing Address: | 1250 Jesse Jewell Pkwy Se Ste 200 Gainesville |
State: | GA US |
Postal Code: | 305013871 |
Phone Number: | 7702977277 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 04/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |