Provider Demographics
NPI:1265010979
Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Entity Type:Organization
Organization Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-349-8388
Mailing Address - Street 1:2255 GLADES RD STE 228W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7391
Mailing Address - Country:US
Mailing Address - Phone:561-349-8388
Mailing Address - Fax:561-358-3142
Practice Address - Street 1:2125 VALLEYGATE DR STE 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3754
Practice Address - Country:US
Practice Address - Phone:910-323-1322
Practice Address - Fax:910-323-1510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty