Organization
ARTHRITIS RESEARCH & TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FONDAL MD (PRESIDENT)
(678) 289-5488
Entity
Organization
Contact information
Practice address
1101 HOSPITAL DR, SUITE 200, STOCKBRIDGE, GA 30281-9075
(678) 289-5488
(678) 289-5489
Mailing address
1101 HOSPITAL DRIVE, SUITE 200, STOCKBRIDGE, GA 30281-9075
(678) 289-5488
(678) 289-5489
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
045463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790732B
—
GA
01
—
849274
BCBSGA
GA
Enumeration date
10/18/2006
Last updated
06/01/2010
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