Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 054106 | GA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 14158 | AL |
NPI | 1073523205 |
---|---|
Provider Name | Dr. Arthur Melvin James |
First Address | Downers Grove, IL 60515-1069 |
Second Address | Atlanta, GA 30363-1135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003191535A | (05) | GA |
009923045 | (05) | AL |
051552800 | (05) | AL |
202G705744 | (02) | GA |
202I334199 | (02) | GA |
E78573 | (02) | AL |