Healthcare Provider Details

I. General information

NPI: 1801967245
Provider Name (Legal Business Name): RHEUMATOLOGY SPECIALISTS ARTHRITIS &OSTEOPOROSIS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ARBA ST
MONTGOMERY AL
36104-5108
US

IV. Provider business mailing address

500 ARBA ST
MONTGOMERY AL
36104-5108
US

V. Phone/Fax

Practice location:
  • Phone: 334-396-8602
  • Fax: 334-396-8608
Mailing address:
  • Phone: 334-396-8602
  • Fax: 334-396-8608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateAL

VIII. Authorized Official

Name: MARCIA MARIE ELKINS
Title or Position: OFFICE MANAGER
Credential:
Phone: 334-396-8602