Provider Demographics
NPI:1760574610
Name:ARNETT, DARRELL G (MD)
Entity Type:Individual
Prefix:
First Name:DARRELL
Middle Name:G
Last Name:ARNETT
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 1:1205 S GRAYCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5130
Mailing Address - Country:US
Mailing Address - Phone:615-679-0132
Mailing Address - Fax:615-953-7903
Practice Address - Street 1:1205 S GRAYCROFT AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5130
Practice Address - Country:US
Practice Address - Phone:615-679-0132
Practice Address - Fax:615-953-7903
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN015873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1031I18962OtherMEDICARE
TN1529060Medicaid
TN1529060Medicaid
A98325Medicare UPIN
TN3374874Medicare ID - Type Unspecified