Provider Demographics
NPI:1326108887
Name:ARNOLD, TERRY V (MD)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:V
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1946
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27293
Mailing Address - Country:US
Mailing Address - Phone:336-249-7051
Mailing Address - Fax:336-248-2294
Practice Address - Street 1:901 E CENTER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-4403
Practice Address - Country:US
Practice Address - Phone:336-249-7051
Practice Address - Fax:336-248-2294
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11996OtherBCBS
NC8911996Medicaid
NC204517Medicare ID - Type Unspecified
NC8911996Medicaid