Provider Demographics
NPI:1518070184
Name:ARNOLD, RODNEY (DC)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HIGHWAY 501
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577
Mailing Address - Country:US
Mailing Address - Phone:843-626-2225
Mailing Address - Fax:843-692-3094
Practice Address - Street 1:925 HIGHWAY 501
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-3818
Practice Address - Country:US
Practice Address - Phone:843-626-2225
Practice Address - Fax:843-692-3094
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2078Medicaid
SCCH2078Medicaid