MEDICARE: GODFRIED A ARTHUR MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	LL28976	SC
2	207Q00000X	Family Medicine Physician	52790	WI
3	207Q00000X	Family Medicine Physician	2013-01868	NC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01267917	OTHER	NC	MEDICARE RAILROAD

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	248101	OTHER	NC	MEDCOST
2	6770595	OTHER	NC	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	9909604	OTHER	NC	AETNA
6	1811P	OTHER	NC	BCBSNC
7	3069107	OTHER	NC	UHC

NPI Number	:	1134249501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GODFRIED A ARTHUR MD

Provider Business Mailing Address
First Line	:	PO BOX 7200
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-0200
Country	:	US
Telephone Number	:	252-937-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 S EASTPOINTE AVE
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1849
Country	:	US
Telephone Number	:	252-459-4012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	02/18/2019

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax: