Provider Demographics
NPI:1548883192
Name:SPINE CENTER PC
Entity type:Organization
Organization Name:SPINE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRESSLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:540-772-9154
Mailing Address - Street 1:PO BOX 21435
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0551
Mailing Address - Country:US
Mailing Address - Phone:540-725-9771
Mailing Address - Fax:540-725-3624
Practice Address - Street 1:2726 ELECTRIC RD STE 203A
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3528
Practice Address - Country:US
Practice Address - Phone:540-725-9771
Practice Address - Fax:540-725-3624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURRAY E JOINER JR MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty