MEDICARE: ARTHRITIS AND RHEUMATISM ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1396280780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHRITIS AND RHEUMATISM ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2231 HILLPARK COVE
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401
Country	:	US
Telephone Number	:	870-333-2721
Fax Number	:	870-333-2720

Provider Business Practice Location Address
First Line	:	2231 HILLPARK COVE
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401
Country	:	US
Telephone Number	:	870-333-2721
Fax Number	:	870-333-2720

Authorized Official
Title or Position	:	AGENT
Name	:	MR. KEITH CHRESTMAN
Credential	:
Telephone Number	:	870-933-8517

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	12/21/2016

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