NPI | 1447276605 |
---|---|
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 | 2006-07-14 |
Last Update Date | 2021-12-06 |