Paul Douglas Arp
Individual provider Active NPI Pharmacist · Canton, GA
NPI 1730486259 · NPPES record last updated Feb 18, 2011
Key facts
- NPI
- 1730486259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 015598 (GA)
- Practice address
- 2017 Marietta Hwy
Canton, GA 30114-4002 - Phone
- (770) 479-5582
- Fax
- (770) 479-7406
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015598 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015598 | GA | Yes |
Addresses
Primary practice location
2017 Marietta Hwy
Canton, GA 30114-4002
Mailing address
4235 Sheffield CT NW
Kennesaw, GA 30144-6085
Phone (770) 861-6369
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.