Healthcare Provider Details

I. General information

NPI: 1356815138
Provider Name (Legal Business Name): INTEGRATIVE ARTHRITIS AND PAIN CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 GRAVES DR STE 14
GOLDSBORO NC
27534-4536
US

IV. Provider business mailing address

2719 GRAVES DR STE 14
GOLDSBORO NC
27534-4536
US

V. Phone/Fax

Practice location:
  • Phone: 984-207-9440
  • Fax: 919-344-2507
Mailing address:
  • Phone: 984-207-9440
  • Fax: 919-344-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SUNEYA HOGARTY
Title or Position: CLINICIAN
Credential: DO
Phone: 984-207-9440