# PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235594748
- **Authorized official:** MIKE COLEMAN (PRESIDENT)
- **Authorized official phone:** (731) 427-0470

## Contact information

- **Practice address:** 1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
- **Practice address phone:** (731) 427-0470
- **Practice address fax:** (731) 427-0995
- **Mailing address:** 1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
- **Mailing address phone:** (731) 427-0470
- **Mailing address fax:** (731) 427-0995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 041832 | TN | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015