Provider Demographics
NPI:1972185999
Name:MCKINISH, ARTHUR FOSTER JR (FNP)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:FOSTER
Last Name:MCKINISH
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BROTHERS LN APT 1006
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-7350
Mailing Address - Country:US
Mailing Address - Phone:706-455-8577
Mailing Address - Fax:
Practice Address - Street 1:10 BROTHERS LN APT 1006
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-7350
Practice Address - Country:US
Practice Address - Phone:706-455-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN238623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine