Healthcare Provider Details
I. General information
NPI: 1871607119
Provider Name (Legal Business Name): JAMES JASON ARNOLD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2006
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2152 OLD SPRINGVILLE RD
CENTER POINT AL
35215-4005
US
IV. Provider business mailing address
2152 OLD SPRINGVILLE RD
CENTER POINT AL
35215-4005
US
V. Phone/Fax
- Phone: 205-838-6000
- Fax: 205-838-6922
- Phone: 205-380-9448
- Fax: 205-838-6922
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0102203654 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | DO.3120 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: