Healthcare Provider Details

I. General information

NPI: 1528472198
Provider Name (Legal Business Name): ANDREW CLAYTON MCARTHUR RD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 GARFIELD ST SUITE B
ASHEVILLE NC
28803-7302
US

IV. Provider business mailing address

30 GARFIELD ST SUITE B
ASHEVILLE NC
28803-7302
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-1150
  • Fax: 828-398-1263
Mailing address:
  • Phone: 828-258-1150
  • Fax: 828-398-1263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003460
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberL003460
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: