# SOUTHEASTERN RHEUMATOLOGY ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEASTERN RHEUMATOLOGY ALLIANCE
- **Other names:** Coastal Rheumatology Specialty, COASTAL RHEUMATOLOGY ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205604659
- **Legal business name:** SOUTHEASTERN RHEUMATOLOGY ALLIANCE
- **Authorized official:** MICHAEL CULLEN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 531-3711

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2023
- **Last updated:** 05/19/2025