Healthcare Provider Details

I. General information

NPI: 1447228861
Provider Name (Legal Business Name): THE RHEUMATOLOGY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 NAPOLEON AVE SUITE #530
NEW ORLEANS LA
70115-6357
US

IV. Provider business mailing address

2633 NAPOLEON AVE SUITE #530
NEW ORLEANS LA
70115-6357
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-1120
  • Fax: 504-899-2137
Mailing address:
  • Phone: 504-899-1120
  • Fax: 504-899-2137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MERLIN R WILSON
Title or Position: PRESIDENT
Credential: MD
Phone: 504-899-1120