Provider Demographics
NPI:1366536377
Name:ARNOLD, HARLON (PA-C)
Entity type:Individual
Prefix:
First Name:HARLON
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 HILLTOP CIR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-1652
Mailing Address - Country:US
Mailing Address - Phone:865-365-1042
Mailing Address - Fax:865-365-1042
Practice Address - Street 1:602 HILLTOP CIR
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-1652
Practice Address - Country:US
Practice Address - Phone:865-365-1042
Practice Address - Fax:865-365-1042
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA000879363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical