Provider Demographics
NPI:1912926668
Name:LIM, ARTHUR J (MD)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:J
Last Name:LIM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9735 KINCEY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9118
Mailing Address - Country:US
Mailing Address - Phone:704-289-4361
Mailing Address - Fax:704-283-4705
Practice Address - Street 1:12610 N COMMUNITY HOUSE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3892
Practice Address - Country:US
Practice Address - Phone:704-752-3730
Practice Address - Fax:704-752-9056
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-05-27
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Provider Licenses
StateLicense IDTaxonomies
SC19913208800000X
NC200101464208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG359629753Medicare PIN
NC2035688DMedicare PIN
SCGP2381Medicaid
SCG35962Medicare UPIN