Provider Demographics
NPI:1174253280
Name:ARNOLD, DAWN COLLETTE
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:COLLETTE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 GARDEN CITY CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7847
Mailing Address - Country:US
Mailing Address - Phone:843-357-0382
Mailing Address - Fax:843-357-0376
Practice Address - Street 1:545 GARDEN CITY CONNECTOR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7847
Practice Address - Country:US
Practice Address - Phone:843-357-0382
Practice Address - Fax:843-357-0376
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician