Healthcare Provider Details
I. General information
NPI: 1447220306
Provider Name (Legal Business Name): ESMOND L ARRINDELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/24/2006
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6215 HUMPHREYS BLVD SUITE 310
MEMPHIS TN
38120-2373
US
IV. Provider business mailing address
6215 HUMPHREYS BLVD SUITE 310
MEMPHIS TN
38120-2373
US
V. Phone/Fax
- Phone: 901-747-0291
- Fax: 901-747-0299
- Phone: 901-747-0291
- Fax: 901-747-0299
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 17271 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 0000017271 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: