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NPI Code Detail

MEDICARE: DR. ARNOLD O HOPLAND M.D.

MEDICARE: DR. ARNOLD O HOPLAND M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician12764TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689674681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARNOLD O HOPLAND M.D.
Provider Business Mailing Address
First Line : 401 E MAIN ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-4877
Country : US
Telephone Number : 423-722-2057
Fax Number : 423-542-5109
Provider Business Practice Location Address
First Line : 1500 W ELK AVE
Second Line :
City : ELIZABETHTON
State : TN
Zip : 37643-2654
Country : US
Telephone Number : 423-543-2584
Fax Number : 423-722-2060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 04/10/2019

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