Healthcare Provider Details

I. General information

NPI: 1669437182
Provider Name (Legal Business Name): ARTHUR M TOWNSEND IV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 POPLAR AVE BUILDING A, STE 340
GERMANTOWN TN
38138-3957
US

IV. Provider business mailing address

7655 POPLAR AVE BUILDING A, STE 340
GERMANTOWN TN
38138-3957
US

V. Phone/Fax

Practice location:
  • Phone: 901-726-4000
  • Fax: 901-726-4018
Mailing address:
  • Phone: 901-726-4000
  • Fax: 901-726-4018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD0025547
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: