Organization
INTEGRATIVE RHEUMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALBERT WITHERS II MD (OWNER/CHIEF EXECUTIVE OFFICER)
(919) 475-9243
Entity
Organization
Contact information
Practice address
10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
(704) 774-3044
(704) 774-3045
Mailing address
10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262-7785
(704) 774-3044
(704) 774-3045
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2013-01881
NC
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902358294
—
NC
Enumeration date
11/02/2016
Last updated
05/14/2026
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