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Contact Information

JACK P ARTHUR, PA-C
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC29303-4219
 Phone: 864-583-2662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACK P ARTHUR · (Male)

NPI # 1922763069
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/03/2021
Last updated 04/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 4227
  • SC Medicaid 4927PA
  • SC Other SCL8957628 MEDICARE PIN
Hospital affiliation(s)
  • VILLAGE HOSPITAL - (Acute Care)
    250 WESTMORELAND ROAD
    GREER, SC 29651
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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