Individual provider · NPI-1

Dr. Ansermo Lester Arthur, M.D.

Internal Medicine, Interventional Cardiology · Aiken, SC

NPI number1720161151
StatusActive
Last updated in NPPESOct 9, 2023

Details

NPI
1720161151
Entity type
Individual (NPI-1)
Name
Dr. Ansermo Lester Arthur
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 21, 2006
Certification date
Oct 9, 2023
Last updated
Oct 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional CardiologyMD18189SCYes
207R00000X Internal Medicine0101268572VA
207RC0000X Internal Medicine, Cardiovascular Disease0101268572VA
207RC0000X Internal Medicine, Cardiovascular Disease18189SC
207RI0011X Internal Medicine, Interventional Cardiology0101268572VA

Practice location

137 Miracle Dr
Aiken, SC 29801-6351

Phone 803-641-4874 · Fax 803-641-0436

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King Of Prussia, PA 19406-3121

Phone 803-641-4874

Other practice locations

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927

Phone 757-261-0700

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