MEDICARE: DR. SCOTT RANDALL ARROWSMITH MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	018359	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962407973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT RANDALL ARROWSMITH MD

Provider Business Mailing Address
First Line	:	130 GOVERNORS SQ
Second Line	:	STE C
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-4862
Country	:	US
Telephone Number	:	770-631-9991
Fax Number	:	770-631-3663

Provider Business Practice Location Address
First Line	:	130 GOVERNORS SQ
Second Line	:	STE C
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-4862
Country	:	US
Telephone Number	:	770-631-9991
Fax Number	:	770-631-3663

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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