Healthcare Provider Details

I. General information

NPI: 1528419744
Provider Name (Legal Business Name): AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 JETTON ST SUITE 115
DAVIDSON NC
28036-7104
US

IV. Provider business mailing address

2255 GLADES RD STE 228W
BOCA RATON FL
33431-7391
US

V. Phone/Fax

Practice location:
  • Phone: 704-255-6167
  • Fax: 704-255-6168
Mailing address:
  • Phone: 561-349-8388
  • Fax: 561-658-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number33712
License Number StateNC

VIII. Authorized Official

Name: KATHRYN N GARRETT
Title or Position: EP
Credential:
Phone: 561-699-7101