Provider Demographics
NPI:1467149641
Name:ARNOLD, RONNIE ANTHONY JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:ANTHONY
Last Name:ARNOLD
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 RIVER BRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-3836
Mailing Address - Country:US
Mailing Address - Phone:803-760-8543
Mailing Address - Fax:
Practice Address - Street 1:4220 RIVER BRIDGE CIR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3836
Practice Address - Country:US
Practice Address - Phone:803-760-8543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program