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Organization

SOUTHEASTERN RHEUMATOLOGY ALLIANCE

Active
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Organization

SOUTHEASTERN RHEUMATOLOGY ALLIANCE

Active
Parent organization
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Other names
Coastal Rheumatology Specialty, COASTAL RHEUMATOLOGY ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Authorized official
MICHAEL CULLEN (PRACTICE ADMINISTRATOR)
(770) 531-3711
Entity
Organization

Contact information

Practice address
23 PLANTATION PARK DR STE 101, BLUFFTON, SC 29910-6072
(912) 349-4227
(912) 349-4457
Mailing address
700 S ENOTA DR NE, GAINESVILLE, GA 30501-2403
(770) 531-3711

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
NULL

Other

Enumeration date
12/14/2023
Last updated
05/19/2025
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