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General NPI Number Information
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NPI Number | 1033095401
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Entity Type | Organization
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Legal Business Name | PREMIER RHEUMATOLOGY
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1129 HOSPITAL DR STE 1A
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6393
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Country | US
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Telephone | 305-753-7309
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Fax |
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Provider Business Mailing Address
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Address Line | 801 BLACK DIAMOND DR
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City | MCDONOUGH
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State | GA
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Zip | 30253-8821
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SCHARTESS CULPEPPER PACE
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Credential |
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Telephone | 305-753-7309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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