| NPI | 1871034462 |
|---|---|
| Doing Business As | WEST TENNESSEE MEDICAL GROUP PRIMARY CARE MARTIN |
| Entity Type | Organization |
| Authorized Contact | BARTLEY TEAGUE Executive Director 731-512-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: TN 0000000126) |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-10-03 |