Provider Demographics
NPI:1093989964
Name:ASSOCIATES OBSTECTRICS AND GYNECOLOGY
Entity Type:Organization
Organization Name:ASSOCIATES OBSTECTRICS AND GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:901-726-4000
Mailing Address - Street 1:7655 POPLAR AVE BLDG A
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3957
Mailing Address - Country:US
Mailing Address - Phone:901-726-4000
Mailing Address - Fax:901-726-4018
Practice Address - Street 1:7655 POPLAR AVE BLDG A
Practice Address - Street 2:SUITE 340
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3957
Practice Address - Country:US
Practice Address - Phone:901-726-4000
Practice Address - Fax:901-726-4018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0025547207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3711510Medicare PIN