# WT UNIVERSITY MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Tennessee Medical Group UT Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023572344
- **Authorized official:** BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (731) 512-1277

## Contact information

- **Practice address:** 294 SUMMAR DR, JACKSON, TN 38301-3915
- **Practice address phone:** (731) 423-1932
- **Practice address fax:** (731) 660-8739
- **Mailing address:** 257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 10/30/2025