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NPI Code Detail

MEDICARE: DR. THOMAS LEE ARNOLD JR. MD

MEDICARE: DR. THOMAS LEE ARNOLD JR. MD
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
1207P00000XEmergency Medicine Physician16275AL

General Provider Information

NPI Number : 1710914841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS LEE ARNOLD JR. MD
Provider Business Mailing Address
First Line : 2708 HIGHWAY 78 EAST
Second Line : P.O. BOX 708
City : JASPER
State : AL
Zip : 35502-0708
Country : US
Telephone Number : 205-387-2253
Fax Number : 205-387-2405
Provider Business Practice Location Address
First Line : 2708 HIGHWAY 78 EAST
Second Line :
City : JASPER
State : AL
Zip : 35501
Country : US
Telephone Number : 205-387-2253
Fax Number : 205-387-2405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 10/22/2012

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