Healthcare Provider Details

I. General information

NPI: 1417117433
Provider Name (Legal Business Name): SOUTHERN SPINE SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W POPLAR AVE SUITE 201
COLLIERVILLE TN
38017-0601
US

IV. Provider business mailing address

PO BOX 372 DEPT 110
MEMPHIS TN
38101-0372
US

V. Phone/Fax

Practice location:
  • Phone: 901-818-2168
  • Fax: 901-682-9998
Mailing address:
  • Phone: 901-818-2168
  • Fax: 901-682-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD0000031246
License Number StateTN

VIII. Authorized Official

Name: DR. PATRICK M CURLEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 901-818-2168