SOUTHEASTERN RHEUMATOLOGY ALLIANCE NPI 1114795663

NPI Information

  • NPI: 1114795663
  • Provider Name: SOUTHEASTERN RHEUMATOLOGY ALLIANCE
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Address: 700 S ENOTA DR NE
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 531-3711

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NPI Details

SOUTHEASTERN RHEUMATOLOGY ALLIANCE is a rheumatology internal medicine in Gainesville, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. SOUTHEASTERN RHEUMATOLOGY ALLIANCE NPI is 1114795663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 S ENOTA DR NE
GAINESVILLE, GA
ZIP 30501-403
Phone: (770) 531-3711
Fax: (678) 696-8386

The provider's authorized official is Michael Cullen .
The authorized official title is Practice Administrator and has the following contact phone number (770) 531-3711.

The enumeration date for this NPI number is 12/14/2023 and was last updated on 4/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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