Healthcare Provider Details
I. General information
NPI: 1093989964
Provider Name (Legal Business Name): ASSOCIATES OBSTECTRICS AND GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7655 POPLAR AVE BLDG A SUITE 340
GERMANTOWN TN
38138-3957
US
IV. Provider business mailing address
7655 POPLAR AVE BLDG A SUITE 340
GERMANTOWN TN
38138-3957
US
V. Phone/Fax
- Phone: 901-726-4000
- Fax: 901-726-4018
- Phone: 901-726-4000
- Fax: 901-726-4018
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD0025547 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
ARTHUR
M
TOWNSEND
IV
Title or Position: OWNER
Credential: M.D.
Phone: 901-726-4000