Provider Demographics
NPI:1417117433
Name:SOUTHERN SPINE SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:SOUTHERN SPINE SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:CURLEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-818-2168
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:DEPT 110
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-0372
Mailing Address - Country:US
Mailing Address - Phone:901-818-2168
Mailing Address - Fax:901-682-9998
Practice Address - Street 1:1500 W POPLAR AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0601
Practice Address - Country:US
Practice Address - Phone:901-818-2168
Practice Address - Fax:901-682-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031246207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4189550OtherBC BS
TN613565400OtherDEPT OF LABOR
TNP00656394OtherRAILROAD MEDICARE
TN38957152Medicare PIN
TN6145840002Medicare NSC
TNH14620Medicare UPIN