Provider Demographics
NPI:1912327099
Name:ARNETT, GEORGE LAWRENCE (BA, BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:LAWRENCE
Last Name:ARNETT
Suffix:
Gender:M
Credentials:BA, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 836
Mailing Address - Street 2:2123 HIGHWAY 84 WEST
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467
Mailing Address - Country:US
Mailing Address - Phone:334-493-1386
Mailing Address - Fax:334-493-1386
Practice Address - Street 1:2123 HIGHWAY 84 WEST
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467
Practice Address - Country:US
Practice Address - Phone:334-493-1386
Practice Address - Fax:334-493-1385
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4096237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist