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Contact Information

SOUTHEASTERN SPINE, PLLC
281 NORTH LYERLY STREET
SUITE 300
CHATTANOOGA, TN37404-2728
 Phone: 423-693-2175
 Fax: 888-959-1015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN SPINE, PLLC

NPI Number 1518215219
LBN Legal business name SOUTHEASTERN SPINE, PLLC
Authorized official BUFFY BELCHER - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2012
Last updated 04/04/2025 - More than a year ago
Identifiers
TN Medicaid Q068733
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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