Healthcare Provider Details

I. General information

NPI: 1215933809
Provider Name (Legal Business Name): JAMES G ARNOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 3RD ST FL 1
GREENSBORO NC
27405-6967
US

IV. Provider business mailing address

510 S SOUTH ST
MT AIRY NC
27030-4422
US

V. Phone/Fax

Practice location:
  • Phone: 336-890-3200
  • Fax:
Mailing address:
  • Phone: 336-786-4522
  • Fax: 336-789-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2003-01200
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: