Healthcare Provider Details
I. General information
NPI: 1366554222
Provider Name (Legal Business Name): ARTHUR RICHARD HALLIDAY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HOSPITAL DR
HENDERSONVILLE NC
28792-5272
US
IV. Provider business mailing address
PO BOX 1869
FLETCHER NC
28732-1869
US
V. Phone/Fax
- Phone: 828-650-8167
- Fax: 828-687-0729
- Phone: 828-687-5698
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35966 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2008-01353 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 2008-01353 |
| License Number State | NC |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2008-01353 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: