Provider Demographics
NPI:1558427179
Name:ARNOLD, YOLANDA YVETTE (MASTER)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:YVETTE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MASTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 DORSEY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-4571
Mailing Address - Country:US
Mailing Address - Phone:706-332-2999
Mailing Address - Fax:706-563-9935
Practice Address - Street 1:6900 DORSEY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-4571
Practice Address - Country:US
Practice Address - Phone:706-332-2999
Practice Address - Fax:706-563-9935
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000783483AOtherCASE MANAGER