Provider Demographics
NPI:1578623112
Name:THE ARTHRITIS GROUP PC
Entity Type:Organization
Organization Name:THE ARTHRITIS GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-525-0279
Mailing Address - Street 1:388 S PAULINE ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6219
Mailing Address - Country:US
Mailing Address - Phone:901-525-0278
Mailing Address - Fax:901-526-9014
Practice Address - Street 1:388 S PAULINE ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6219
Practice Address - Country:US
Practice Address - Phone:901-525-0278
Practice Address - Fax:901-526-9014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3371657Medicare ID - Type UnspecifiedGROUP