Provider Demographics
NPI:1962585422
Name:RHEUMATOLOGY SPECIALISTS ARTHRITIS & OSTEOPOROSIS CENTER
Entity type:Organization
Organization Name:RHEUMATOLOGY SPECIALISTS ARTHRITIS & OSTEOPOROSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MANEICE
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACR
Authorized Official - Phone:334-396-8602
Mailing Address - Street 1:500 ARBA ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-5108
Mailing Address - Country:US
Mailing Address - Phone:334-396-8608
Mailing Address - Fax:
Practice Address - Street 1:500 ARBA ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-5108
Practice Address - Country:US
Practice Address - Phone:334-396-8608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00015326305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE46273Medicare UPIN