NPI 1639270903

Spine Center of Southeast Georgia LLC

Organisation Interventional Pain Medicine Physician Brunswick, GA

Practice location

Address: 1111 Glynco Pkwy STE 300, Brunswick, GA 31525-7921
Phone: (912) 262-6552
Fax: (912) 262-0112
Mailing address: 4960 SW 72nd Ave STE 405, Miami, FL 33155-5506

Authorised official

Name: Shaneka Tinch
Title: Rcm Manager
Phone: (469) 458-9222

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Georgia →

Registry record

NPI: 1639270903
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 8 Dec 2025

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.