Provider Demographics
NPI:1730812108
Name:ARNOLD, GINGER LEIGH
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:LEIGH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 N HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3311
Mailing Address - Country:US
Mailing Address - Phone:843-884-9224
Mailing Address - Fax:843-884-0880
Practice Address - Street 1:1481 N HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3311
Practice Address - Country:US
Practice Address - Phone:843-884-9224
Practice Address - Fax:843-884-0880
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1016156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician