| NPI | 1720689169 |
|---|---|
| Former Legal Business Name | WEST CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL GRAVES CEO 901-683-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-12-14 |