Healthcare Provider Details

I. General information

NPI: 1659531861
Provider Name (Legal Business Name): LINDSAY JONES TALBOT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY DIANNE JONES MD

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 DANNY THOMAS PL # MS 515
MEMPHIS TN
38105
US

IV. Provider business mailing address

262 DANNY THOMAS PL # MS 515
MEMPHIS TN
38105-3678
US

V. Phone/Fax

Practice location:
  • Phone: 901-595-4060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number149951
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number58324
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: