Provider Demographics
NPI:1730777590
Name:SEGAL, ARTHUR LLOYD
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LLOYD
Last Name:SEGAL
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 1:8 COUNTRY CLUB CT
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1349
Mailing Address - Country:US
Mailing Address - Phone:843-689-9393
Mailing Address - Fax:
Practice Address - Street 1:8 COUNTRY CLUB CT
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1349
Practice Address - Country:US
Practice Address - Phone:843-689-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental