Provider Demographics
NPI:1770821324
Name:SINGLETON, ERNEST MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MITCHELL
Last Name:SINGLETON
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 1:1793 E MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6224
Mailing Address - Country:US
Mailing Address - Phone:479-521-3340
Mailing Address - Fax:
Practice Address - Street 1:1793 E MANCHESTER DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6224
Practice Address - Country:US
Practice Address - Phone:479-521-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-2009207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology