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
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
12/14/2023
Last updated
05/19/2025
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