Provider Demographics
NPI:1417149709
Name:ARTHRITIS TREATMENT CENTER OF THE LOW COUNTRY PC
Entity Type:Organization
Organization Name:ARTHRITIS TREATMENT CENTER OF THE LOW COUNTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BRITTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-815-6555
Mailing Address - Street 1:23 PLANTATION PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910
Mailing Address - Country:US
Mailing Address - Phone:843-815-6555
Mailing Address - Fax:843-815-6553
Practice Address - Street 1:23 PLANTATION PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910
Practice Address - Country:US
Practice Address - Phone:843-815-6555
Practice Address - Fax:843-815-6553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16859207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC168598Medicaid
SC168598Medicaid