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Organization

SOUTHEASTERN RHEUMATOLOGY ALLIANCE

Active
Parent organization
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Other names
COASTAL RHEUMATOLOGY ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Authorized official
MICHAEL CULLEN (CIO)
(770) 714-7857
Entity
Organization

Contact information

Practice address
110 RUSHING LN STE B, STATESBORO, GA 30458-6027
(912) 210-0276
(912) 428-7201
Mailing address
700 S ENOTA DR NE, GAINESVILLE, GA 30501-2403

Taxonomy

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

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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