Provider Demographics
NPI:1528419744
Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Entity Type:Organization
Organization Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Other - Org Name:AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES - NC PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:RHEUMATOLOGY
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:561-658-6142
Practice Address - Street 1:2125 VALLEYGATE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3753
Practice Address - Country:US
Practice Address - Phone:561-336-1600
Practice Address - Fax:561-828-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33712207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty