NPI 1306304050

Spinal Regeneration Center of La, LLC

Organisation Interventional Pain Medicine Physician Metairie, LA

Practice location

Address: 2225 N Hullen St, Metairie, LA 70001-1929
Phone: (504) 944-3030
Mailing address: 70380 Highway 21 STE 2, Covington, LA 70433-8128

Authorised official

Name: Tabitha Sayles
Title: Credentialing Auditor
Phone: (864) 642-0884

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Louisiana →

Non-Pharmacy Dispensing Site

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1306304050
Entity type: Organization
NPI issued: 12 Mar 2019
Record last updated: 17 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.