Provider Demographics
NPI:1144382706
Name:ARTHUR, NANA ABENA (MD)
Entity Type:Individual
Prefix:DR
First Name:NANA
Middle Name:ABENA
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-2272
Mailing Address - Country:US
Mailing Address - Phone:678-838-2585
Mailing Address - Fax:678-838-2587
Practice Address - Street 1:8954 HOSPTIAL DRIVE
Practice Address - Street 2:WELLSTAR HEALTH SYSTEM DOUGLAS HOSPITAL
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134
Practice Address - Country:US
Practice Address - Phone:678-838-2585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059117207RG0300X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA059117OtherPHYSICIAN LICENSE
CT044538OtherPHYSICIAN LICENSE NUMBER
GABA 9837355OtherFEDERAL STATE DEA