MEDICARE: DONNA K RHEUMATOLOGY, INC

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	:	1740118629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONNA K RHEUMATOLOGY, INC

Provider Business Mailing Address
First Line	:	5190 MEDFORD DR STE 100
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-2102
Country	:	US
Telephone Number	:	770-241-4414
Fax Number	:

Provider Business Practice Location Address
First Line	:	5190 MEDFORD DR STE 100
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-2102
Country	:	US
Telephone Number	:	770-241-4414
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DONNA KAY MANEICE
Credential	:	MD
Telephone Number	:	770-241-4414

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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