Individual
DR. MARY EWURABENA ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, ROOM 2144, AUGUSTA, GA 30912-0004
(706) 721-3873
(706) 721-7763
Mailing address
1120 15TH ST RM BIW 2144, AUGUSTA, GA 30912-0004
(706) 721-0180
(706) 446-0077
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001881
BCBS
GA
01
—
339257
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
981812791A
—
GA
05
—
981812791B
—
GA
05
—
G53596
—
SC
01
—
P00073147
RAILROAD MEDICARE
GA
Enumeration date
09/29/2006
Last updated
06/22/2023
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