Provider Demographics
NPI:1710914841
Name:ARNOLD, THOMAS LEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:ARNOLD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2708 HIGHWAY 78 EAST
Mailing Address - Street 2:P.O. BOX 708
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35502-0708
Mailing Address - Country:US
Mailing Address - Phone:205-387-2253
Mailing Address - Fax:205-387-2405
Practice Address - Street 1:2708 HIGHWAY 78 EAST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501
Practice Address - Country:US
Practice Address - Phone:205-387-2253
Practice Address - Fax:205-387-2405
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-10-22
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Provider Licenses
StateLicense IDTaxonomies
AL16275207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALD44743Medicare UPIN