Provider Demographics
NPI:1831485879
Name:ARNOLD, ALICIA HUFF (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:HUFF
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:HUFF
Other - Last Name:VINYARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1499 WALTON WAY
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2603
Mailing Address - Country:US
Mailing Address - Phone:706-446-5941
Mailing Address - Fax:
Practice Address - Street 1:1411 LANEY WALKER BLVD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-4726
Practice Address - Fax:706-721-9136
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4860208600000X
GA0769842086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery