Healthcare Provider Details

I. General information

NPI: 1023081189
Provider Name (Legal Business Name): ARTHRITIS CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 RICHLAND MEDICAL PARK SUITE 240
COLUMBIA SC
29203-6849
US

IV. Provider business mailing address

3 RICHLAND MEDICAL PARK SUITE 240
COLUMBIA SC
29203-6849
US

V. Phone/Fax

Practice location:
  • Phone: 803-765-1550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KELLI KELLEHER
Title or Position: PRACTICE MANAGER
Credential: MBA, CPPM, CRMS
Phone: 803-765-1550