Provider Demographics
NPI:1821130709
Name:ARNOLD, ALLEN KEMP III (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:KEMP
Last Name:ARNOLD
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TRIPP
Other - Middle Name:
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5403 AMITY DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-4952
Mailing Address - Country:US
Mailing Address - Phone:770-439-6807
Mailing Address - Fax:
Practice Address - Street 1:5015 FLOYD RD SW
Practice Address - Street 2:SUITE 720
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-1673
Practice Address - Country:US
Practice Address - Phone:770-941-1454
Practice Address - Fax:770-819-8004
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCBTNMedicare ID - Type Unspecified