Provider Demographics
NPI:1750333738
Name:LOMANT, ARTHUR JAY (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JAY
Last Name:LOMANT
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-3945
Mailing Address - Country:US
Mailing Address - Phone:706-283-1969
Mailing Address - Fax:706-283-1969
Practice Address - Street 1:1956 INDIAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-3945
Practice Address - Country:US
Practice Address - Phone:706-283-1969
Practice Address - Fax:706-283-1969
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA039396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00630946AMedicaid
GA00630946AMedicaid
GAB69605Medicare UPIN