# THE WEST CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Clinic, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427509595
- **Authorized official:** MR. JOHN M GRAVES (CEO)
- **Authorized official phone:** (901) 683-0055

## Contact information

- **Practice address:** 1936 W POPLAR AVE, COLLIERVILLE, TN 38017-0605
- **Practice address phone:** (901) 853-6012
- **Practice address fax:** (901) 854-7630
- **Mailing address:** 7714 POPLAR AVE., SUITE 200, ATTN: CREDENTIALING, GERMANTOWN, TN 38138-3941
- **Mailing address phone:** (901) 683-0055
- **Mailing address fax:** (901) 922-6722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 12/14/2021