Individual
MR. MICHAEL STEPHEN ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 633-4908
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22969
SC
367500000X
Certified Registered Nurse Anesthetist
APN0000009033
TN
367500000X
Certified Registered Nurse Anesthetist
RN053794
GA
367500000X
Certified Registered Nurse Anesthetist
RN053794 CRNA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000764244P
—
GA
05
—
000764244R
—
GA
05
—
000764244S
—
GA
05
—
000764244T
—
GA
01
—
580628385
TRICARE
GA
05
—
AN2969
—
SC
01
—
P01044804
RAILROAD MEDICARE
GA
Enumeration date
11/13/2006
Last updated
01/24/2022
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