Provider Demographics
NPI:1306989918
Name:ARNOLD, ALLEN KEMP JR (DC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:KEMP
Last Name:ARNOLD
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:651 BENSON HURST DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-1409
Mailing Address - Country:US
Mailing Address - Phone:770-944-8454
Mailing Address - Fax:
Practice Address - Street 1:5015 FLOYD RD SW
Practice Address - Street 2:SUITE 720
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-1673
Practice Address - Country:US
Practice Address - Phone:770-941-1454
Practice Address - Fax:770-819-8004
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR000976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor