Healthcare Provider Details

I. General information

NPI: 1598996753
Provider Name (Legal Business Name): FRANCIS VITALIS ARTHUR JR. PHYSICAL THERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 GA HIGHWAY 127
KATHLEEN GA
31047-2828
US

IV. Provider business mailing address

3708 NORTHSIDE DR
MACON GA
31210-2404
US

V. Phone/Fax

Practice location:
  • Phone: 478-971-1153
  • Fax: 478-971-1171
Mailing address:
  • Phone: 478-745-4206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007801
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: