Southern Spine and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007257 Issued in GA

Legal business name

SOUTHERN SPINE AND REHAB, LLC

Practice address

1700 Frederica Rd
Suite 202
St Simons Island, GA 31522-2581

Phone

(912) 268-2783

Fax

(912) 268-2947

NPI assigned

Feb 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Druda, D.C.

Title

Director

Phone

(912) 268-2783

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1750655486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 FREDERICA RD",
            "address_2": "SUITE 202",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222581",
            "telephone_number": "912-268-2783",
            "fax_number": "912-268-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FREDERICA RD",
            "address_2": "SUITE 202",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222581",
            "telephone_number": "912-268-2783",
            "fax_number": "912-268-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPINE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "DRUDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-268-2783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amauri Smith, PT, DPT
• James Stratton Snow Jr., D.O.
• Southeast Georgia Therapy LLC
• Southeastern Health Services, Inc.
• Southern Crescent Surgical Assisting P C
• Spencer Spine Specialists LLC
• Ashleigh Dehnea Spencer, D.C.
• St Simons Eye Care, LLC
• St Simons Island Clinic
• St. Simons Dental Partners LLC

• Chiropractor in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.