Healthcare Provider Details

I. General information

NPI: 1396625877
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 JOHNS CREEK PKWY
SUWANEE GA
30024-1253
US

IV. Provider business mailing address

11731 POINTE PL
ROSWELL GA
30076-4636
US

V. Phone/Fax

Practice location:
  • Phone: 770-284-3150
  • Fax:
Mailing address:
  • Phone: 770-284-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: JATIN PATEL
Title or Position: MD
Credential:
Phone: 770-284-3150