Provider Demographics
NPI:1083080550
Name:ARTHUR, EMILY IL (RN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:IL
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 REGENCY PARK DR STE 140
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-7076
Mailing Address - Country:US
Mailing Address - Phone:770-957-8626
Mailing Address - Fax:770-957-7200
Practice Address - Street 1:101 REGENCY PARK DR STE 140
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-7076
Practice Address - Country:US
Practice Address - Phone:770-957-8626
Practice Address - Fax:770-957-7200
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN234732363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics