Provider Demographics
NPI:1134249501
Name:ARTHUR, GODFRIED A (MD)
Entity type:Individual
Prefix:
First Name:GODFRIED
Middle Name:A
Last Name:ARTHUR
Suffix:
Gender:M
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:PO BOX 7200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0200
Mailing Address - Country:US
Mailing Address - Phone:252-937-0200
Mailing Address - Fax:
Practice Address - Street 1:102 S EASTPOINTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1849
Practice Address - Country:US
Practice Address - Phone:252-459-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL28976207Q00000X
WI52790207Q00000X
NC2013-01868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC248101OtherMEDCOST
NC6770595OtherCIGNA
NC1134249501Medicaid
NCP01267917OtherMEDICARE RAILROAD
NC9909604OtherAETNA
NC1811POtherBCBSNC
NC3069107OtherUHC
NCNCE073AMedicare PIN