# INTEGRATIVE RHEUMATOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902358294
- **Authorized official:** DR. CHARLES ALBERT WITHERS II MD (OWNER/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 475-9243

## Contact information

- **Practice address:** 10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
- **Practice address phone:** (704) 774-3044
- **Practice address fax:** (704) 774-3045
- **Mailing address:** 10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
- **Mailing address phone:** (704) 774-3044
- **Mailing address fax:** (704) 774-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 2013-01881 | NC | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 05/14/2026