Healthcare Provider Details

I. General information

NPI: 1982109559
Provider Name (Legal Business Name): ERICA ANDREWS MCARTHUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 N EAST EXPY NE
BROOKHAVEN GA
30329-2401
US

IV. Provider business mailing address

1575 N EAST EXPY NE
BROOKHAVEN GA
30329-2401
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number88461
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: