=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790719896
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAROLYN M ARNETT DO INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2006
-----------------------------------------------------
Last Update Date | 10/29/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1870 COLES BLVD STE B
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45662-6900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-353-5002
-----------------------------------------------------
Fax | 740-353-4772
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1870 COLES BLVD STE B
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45662-6900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-353-5002
-----------------------------------------------------
Fax | 740-353-4772
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. CAROLYN M ARNETT
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 740-353-5002
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------