Healthcare Provider Details

I. General information

NPI: 1760464341
Provider Name (Legal Business Name): GUY COLE ARNALL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG GA
30277-3680
US

IV. Provider business mailing address

2959 SHARPSBURG MCCULLUM RD
NEWNAN GA
30265-2297
US

V. Phone/Fax

Practice location:
  • Phone: 678-633-3260
  • Fax:
Mailing address:
  • Phone: 770-502-2040
  • Fax: 770-502-2049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number033514
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: