Provider Demographics
NPI:1629231154
Name:ARP, NATHAN WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:WAYNE
Last Name:ARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2805 BRIARWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2224
Mailing Address - Country:US
Mailing Address - Phone:256-585-3327
Mailing Address - Fax:
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 301
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-551-0303
Practice Address - Fax:256-539-9472
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL30952207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1194704742OtherGROUP NPI
AL631142437OtherGROUP TAX NUMBER
AL631142437OtherGROUP TAX NUMBER