Healthcare Provider Details

I. General information

NPI: 1770552259
Provider Name (Legal Business Name): WILLIAM FRANK MCARTHUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 01/18/2020
Certification Date: 01/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 WINTER ST
LUCEDALE MS
39452-6603
US

IV. Provider business mailing address

1230 OAK HILL RD
POPLARVILLE MS
39470-7382
US

V. Phone/Fax

Practice location:
  • Phone: 601-947-3161
  • Fax:
Mailing address:
  • Phone: 601-899-2120
  • Fax: 601-975-2635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16177
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: