Provider Demographics
NPI:1164817128
Name:ROWE SPINE AND PAIN LLC
Entity Type:Organization
Organization Name:ROWE SPINE AND PAIN LLC
Other - Org Name:SPECTRUM SPINE & PAIN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-670-9598
Mailing Address - Street 1:114 CANAL ST STE 503
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-4261
Mailing Address - Country:US
Mailing Address - Phone:843-310-1055
Mailing Address - Fax:843-310-1056
Practice Address - Street 1:25 SHERINGTON DR STE D
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6031
Practice Address - Country:US
Practice Address - Phone:843-310-1055
Practice Address - Fax:843-310-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty