| NPI | 1932780459 |
|---|---|
| Former Legal Business Name | WEST CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL GRAVES CEO 901-683-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-12-14 |