Healthcare Provider Details

I. General information

NPI: 1659485761
Provider Name (Legal Business Name): EAST MEMPHIS NEONATOLOGY ASSOCIATES P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6215 HUMPHREYS BLVD STE 310
MEMPHIS TN
38120-2382
US

IV. Provider business mailing address

6215 HUMPHREYS BLVD STE 310
MEMPHIS TN
38120-2382
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-0291
  • Fax: 901-747-0299
Mailing address:
  • Phone: 901-747-0291
  • Fax: 901-747-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ESMOND L ARRINDELL JR.
Title or Position: PARTNER
Credential: MD
Phone: 901-747-0291