Provider Demographics
NPI:1295310977
Name:RHEUMATOLOGY CARE OF GEORGIA LLC
Entity type:Organization
Organization Name:RHEUMATOLOGY CARE OF GEORGIA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-755-3782
Mailing Address - Street 1:3901 ROSWELL RD STE 208
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8810
Mailing Address - Country:US
Mailing Address - Phone:470-357-6226
Mailing Address - Fax:866-531-8092
Practice Address - Street 1:3901 ROSWELL RD STE 208
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8810
Practice Address - Country:US
Practice Address - Phone:470-357-6226
Practice Address - Fax:866-531-8092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2025-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service