Integrative Rheumatology Pllc

LBN: Integrative Rheumatology Pllc
Integrative Rheumatology Pllc is an health care organization with primary practice located at 10826 Mallard Creek Rd Ste 100 , Charlotte NC 28262-7785. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Integrative Rheumatology Pllc can be contacted via phone (704) 774-3044, or through Withers, Charles Albert via phone (919) 475-9243.

Contact Information

Primary practice address
10826 Mallard Creek Rd Ste 100 Charlotte NC 28262-7785
Phone: (704) 774-3044
Fax: (704) 774-3045
Website:
Map and Directions
Authorized official contact:
Name: Withers, Charles Albert Doctor of Medicine (MD)
Phone: (919) 475-9243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2013-01881 North Carolina

Profile Details

NPI number 1902358294
LBN Legal business name Integrative Rheumatology Pllc
DBA Doing business as
Authorized official Withers, Charles Albert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Nov 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902358294 NPPES
North Carolina MEDICAID 1902358294

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