Arnold, Robert Lee

Arnold, Robert Lee is an individual health care provider with primary practice located at 200 Maple Dr , Vidalia GA 30474-8907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Arnold, Robert Lee can be contacted via phone (912) 537-9851.

Contact Information

Primary practice address
200 Maple Dr Vidalia GA 30474-8907
Phone: (912) 537-9851
Fax: (912) 537-9843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1327 Georgia

Profile Details

NPI number 1265426639
LBN Legal business name Arnold, Robert Lee
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265426639 NPPES
Georgia MEDICAID 100000192A

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