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Organization
QUEENS RHEUMATOLOGY LLC
Active
Organization
QUEENS RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TERESA GEORGE (MD)
(803) 913-4500
Entity
Organization
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY STE 106, SUITE 106, FORT MILL, SC 29707-4526
(803) 913-4500
(803) 913-4600
Mailing address
1040 EDGEWATER CORPORATE PKWY STE 106, FORT MILL, SC 29707-4526
(803) 913-4500
(803) 913-4600
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
07/25/2024
Last updated
02/26/2026
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