Healthcare Provider Details

I. General information

NPI: 1942315296
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY OF GA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 JOHNSON FERRY RD NE SUITE 220
ATLANTA GA
30342-1626
US

IV. Provider business mailing address

980 JOHNSON FERRY RD NE SUITE 220
ATLANTA GA
30342-1626
US

V. Phone/Fax

Practice location:
  • Phone: 404-255-5956
  • Fax: 404-255-3908
Mailing address:
  • Phone: 404-255-5956
  • Fax: 404-255-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTY PARR
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 404-255-5956