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General NPI Number Information
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NPI Number | 1528380763
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Entity Type | Organization
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Legal Business Name | BOX ARTHRITIS & RHEUMATOLOGY OF THE
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 10502 PARK RD SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28210-8479
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Country | US
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Telephone | 704-541-9092
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Fax | 866-373-7538
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Provider Business Mailing Address
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Address Line | 10502 PARK RD SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28210-8479
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Country | US
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Telephone | 704-541-9092
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Fax | 866-373-7538
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK BOX
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Credential | MD
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Telephone | 704-541-9092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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