MEDICARE: ANITA L ARNOLD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	26308	TN
2	207R00000X	Internal Medicine Physician	14748	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01128611	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649207242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA L ARNOLD MD

Provider Business Mailing Address
First Line	:	1068 CRESTHAVEN RD
Second Line	:	SUITE 250
City	:	MEMPHIS
State	:	TN
Zip	:	38119-0800
Country	:	US
Telephone Number	:	901-685-3490
Fax Number	:	901-685-3499

Provider Business Practice Location Address
First Line	:	1068 CRESTHAVEN RD
Second Line	:	SUITE 250
City	:	MEMPHIS
State	:	TN
Zip	:	38119-0800
Country	:	US
Telephone Number	:	901-685-3490
Fax Number	:	901-685-3499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	12/18/2014

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Directions to “ ANITA L ARNOLD MD” Practice Location

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