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Organization
PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC
Active
Organization
PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLEMAN (PRESIDENT)
(731) 427-0470
Entity
Organization
Contact information
Practice address
1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
(731) 427-0470
(731) 427-0995
Mailing address
1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
(731) 427-0470
(731) 427-0995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041832
TN
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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