MEDICARE: CENTER FOR SCOLIOSIS & SPINAL SURGERY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207T00000X	Neurological Surgery Physician
2	2251X0800X	Orthopedic Physical Therapist
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011M8	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972545333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR SCOLIOSIS & SPINAL SURGERY, PLLC

Provider Business Mailing Address
First Line	:	2390 HEMBY LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3775
Country	:	US
Telephone Number	:	252-752-9794
Fax Number	:

Provider Business Practice Location Address
First Line	:	2390 HEMBY LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3775
Country	:	US
Telephone Number	:	252-752-9794
Fax Number	:

Authorized Official
Title or Position	:	MEMBER/MANAGER
Name	:	SCOT ERIC REEG
Credential	:	M.D.
Telephone Number	:	252-752-9794

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	03/10/2010

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