Provider Demographics
NPI:1053481325
Name:MACARTHUR, ELIZABETH (BS PT , CIMI)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MACARTHUR
Suffix:
Gender:F
Credentials:BS PT , CIMI
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:500 PINE FOREST RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2764
Mailing Address - Country:US
Mailing Address - Phone:404-784-7083
Mailing Address - Fax:404-531-9290
Practice Address - Street 1:1000 HOLCOMB WOODS PKWY
Practice Address - Street 2:STE 426
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2575
Practice Address - Country:US
Practice Address - Phone:770-851-9553
Practice Address - Fax:770-698-4178
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPT004730225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
121002OtherBCBS PIN