Healthcare Provider Details

I. General information

NPI: 1508923830
Provider Name (Legal Business Name): MR. DAVID B. ARTHUR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 LAKE BOONE TRL STE 300
RALEIGH NC
27607-2969
US

IV. Provider business mailing address

6333 WINTER SPRING DR
WAKE FOREST NC
27587-7151
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-9182
  • Fax:
Mailing address:
  • Phone: 919-906-3305
  • Fax: 919-715-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5508
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: