Healthcare Provider Details
I. General information
NPI: 1124315411
Provider Name (Legal Business Name): ERIC JAMES AREHART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2011
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 CROFTON SPRINGS PL
CHAPEL HILL NC
27516
US
IV. Provider business mailing address
3 MARYLAND FARMS STE 200
BRENTWOOD TN
37027-5005
US
V. Phone/Fax
- Phone: 615-345-5400
- Fax:
- Phone: 615-345-5400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 5026 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 2016-02060 |
| License Number State | NC |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | ME133458 |
| Identifier Type | OTHER |
| Identifier State | FL |
| Identifier Issuer | STATE LICENSE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: