Provider Demographics
NPI:1720603699
Name:ARMOLD, RONALD LEE (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:LEE
Last Name:ARMOLD
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 1:280 S PINE ST STE C1
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2660
Mailing Address - Country:US
Mailing Address - Phone:564-804-6840
Mailing Address - Fax:
Practice Address - Street 1:1524 JOHN B. WHITE SENIOR SUITE 2
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2930
Practice Address - Country:US
Practice Address - Phone:864-804-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor