# WT MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Tennessee Medical Group Primary Care Camden
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356021026
- **Authorized official:** BARTLEY TEAGUE (EXECUTIVE DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (731) 512-1277

## Contact information

- **Practice address:** 186 HOSPITAL DR, CAMDEN, TN 38320-1618
- **Practice address phone:** (731) 593-6260
- **Practice address fax:** (731) 256-9860
- **Mailing address:** 620 SKYLINE DR, JACKSON, TN 38301-3923
- **Mailing address phone:** (731) 541-5000
- **Mailing address fax:** (731) 541-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023