NPI | 1477870467 |
---|---|
Doing Business As | WEST TENNESSEE MEDICAL GROUP PRIMARY CARE CARUTHERSVILLE |
Entity Type | Organization |
Authorized Contact | JAMES E ROSS CEO 731-541-6735 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2010-04-29 |
Last Update Date | 2022-01-03 |