INTEGRATIVE RHEUMATOLOGY PLLC NPI 1902358294

NPI Information

  • NPI: 1902358294
  • Provider Name: INTEGRATIVE RHEUMATOLOGY PLLC
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • CLIA Number: 34D2146865
  • Address: 10826 MALLARD CREEK RD STE 100
    CHARLOTTE, NC
    ZIP 28262
  • Phone: (704) 774-3044

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NPI Details

INTEGRATIVE RHEUMATOLOGY PLLC is a rheumatology internal medicine in Charlotte, NC. 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. INTEGRATIVE RHEUMATOLOGY PLLC NPI is 1902358294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10826 MALLARD CREEK RD STE 100
CHARLOTTE, NC
ZIP 28262-785
Phone: (704) 774-3044
Fax: (704) 774-3045

The provider's authorized official is Charles Albert Withers .
The authorized official title is Owner/chief Executive Officer and has the following contact phone number (919) 475-9243.

The CLIA number assigned to this NPI record is 34D2146865 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 11/2/2020.

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 MedicineRheumatology2013-01881NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11902358294MEDICAIDNORTH CAROLINA

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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