Individual
DR. JASON GLEN ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 328-1433
Mailing address
3525 PIEDMONT RD NE, BUILDING 6, SUITE 220, ATLANTA, GA 30305-1578
(404) 446-3200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58569
GA
207ND0101X
MOHS-Micrographic Surgery Physician
58569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966935933
—
GA
Enumeration date
09/06/2005
Last updated
04/12/2017
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