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Organization
THE WEST CLINIC, PLLC
Active
Organization
THE WEST CLINIC, PLLC
Active
Other names
West Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M GRAVES (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
271 W POLK AVE, WEST MEMPHIS, AR 72301-4228
(870) 735-5912
(870) 735-0507
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013755
—
MS
05
—
216539002
—
AR
05
—
3704066
—
TN
Enumeration date
10/04/2012
Last updated
12/14/2021
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