Organization

Spine Cin Of Jackson Llc

Orthopaedic Surgery Physician in Jackson, MS(View on Map)

Legal Business Name

Spine Cin Of Jackson Llc

NPI Number

1588166565

NPI Type

Organization

Enumeration Date

03/06/2018

Specialties

(Taxonomies)

Code

207X00000X
207XS0117X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

102 WOODMONT BLVD STE 350
460 BRIARWOOD DR STE 400-5013

City

Nashville
Jackson

State

TN
MS

Postal Code

37205-2216
39206-3051

Country

US
US

Telephone Number

(615) 386-0064
(615) 386-0064

Authorized Official

Name

Edward Leland Eadie

Title or Position

DIRECTOR / AUTHORIZED OFFICIAL

Telephone Number

(615) 733-2064

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/06/2018

Provider Address

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Organization

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