Provider Demographics
NPI:1437230109
Name:DARNELL, THOMAS LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LLOYD
Last Name:DARNELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 HOMER CLAYTON DR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2206
Mailing Address - Country:US
Mailing Address - Phone:256-582-2581
Mailing Address - Fax:258-582-7799
Practice Address - Street 1:2308 HOMER CLAYTON DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2206
Practice Address - Country:US
Practice Address - Phone:256-582-2581
Practice Address - Fax:258-582-7799
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13036207Q00000X
TN16341207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4044762OtherAETNA
AL0110023OtherUNITEDHEALTHCARE
AL18501Medicare ID - Type UnspecifiedNEW HOPE PROVIDER NUMBER
AL4044762OtherAETNA
AL18502Medicare ID - Type UnspecifiedLAKESHORE PROVIDER NUMBER