| NPI | 1235201617 |
|---|---|
| Former Legal Business Name | WEST CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | JOHN M GRAVES CEO 901-683-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-12-14 |