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Individual

JIMMY W. ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
152 N CREST BLVD STE A, MACON, GA 31210-1847
(478) 757-9620
Mailing address
152 N CREST BLVD STE A, MACON, GA 31210-1847
(478) 757-9620

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
011189
GA

Other

Enumeration date
05/14/2014
Last updated
05/14/2014
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