Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MD46075 | TN |
Y | 2086S0105X | Surgery of the Hand | 46075 | TN |
NPI | 1891919676 |
---|---|
Provider Name | Dr. Justin Mchenry Arnold |
First Address | Chattanooga, TN 37404-3322 |
Second Address | Chattanooga, TN 37404-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 17/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1524903 | (05) | TN |