Healthcare Provider Details

I. General information

NPI: 1144155607
Provider Name (Legal Business Name): MR. ARLESTER SIMPSON JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 LAKEVIEW TRL
ROCKINGHAM NC
28379-7424
US

IV. Provider business mailing address

196 LAKEVIEW TRL
ROCKINGHAM NC
28379-7424
US

V. Phone/Fax

Practice location:
  • Phone: 910-417-7305
  • Fax:
Mailing address:
  • Phone: 910-417-7305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number7608106
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: