Provider Demographics
NPI:1124893730
Name:FEW, ARTHUR IVEY
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:IVEY
Last Name:FEW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-2634
Mailing Address - Country:US
Mailing Address - Phone:770-474-2438
Mailing Address - Fax:770-474-8351
Practice Address - Street 1:315 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-2634
Practice Address - Country:US
Practice Address - Phone:770-474-2438
Practice Address - Fax:770-474-8351
Is Sole Proprietor?:No
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPG034653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist