MEDICARE: ARTHRITIS ASSOCIATES, PLLC

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	15589	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588619167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHRITIS ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	7100 U S HIGHWAY 98 STE 220
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-8557
Country	:	US
Telephone Number	:	601-582-7655
Fax Number	:	601-582-3229

Provider Business Practice Location Address
First Line	:	7100 U S HIGHWAY 98 STE 220
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-8557
Country	:	US
Telephone Number	:	601-582-7655
Fax Number	:	601-582-3229

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. DAVID IAN WEISS
Credential	:	MD
Telephone Number	:	601-582-7655

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/09/2019

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