| Name: | David H. Arnold, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 28 Jun 1984 (40 years ago) |
| Date of dissolution: | 20 Sep 2021 |
| Entity Number: | 000-098-771 |
| Register Number: | 000098771 |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | GENEVA, AL |
| Registered Office Street Address: | 1203 W MAPLE AVEGENEVA, AL 36340 |
| Registered Office Street Address ZIP Code: | 36340 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053425819 | 2006-08-18 | 2018-07-05 | 3 WEST LAKE PROFESSIONAL PARK, GENEVA, AL, 36340, US | 3 WEST LAKE PROFESSIONAL PARK, GENEVA, AL, 36340, US | |||||||||||||||||||||||||
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| Phone | +1 334-684-2281 |
| Fax | 3346849659 |
Authorized person
| Name | DR. DAVID H. ARNOLD |
| Role | PHYSICIAN |
| Phone | 3346842281 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 9269 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000010509 |
| State | AL |
| Name | Role |
|---|---|
| ARNOLD, DAVID H DR | Agent |
| Name | Role |
|---|---|
| ARNOLD, DAVID H DR | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
