# WEST TN ER GROUP PC

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

## Provider details

- **NPI number:** 1972934396
- **Authorized official:** DR. JOHN H. PROCTOR MD (PRESIDENT)
- **Authorized official phone:** (800) 424-3672

## Contact information

- **Practice address:** 6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
- **Practice address phone:** (901) 226-5000
- **Practice address fax:** (901) 226-5618
- **Mailing address:** PO BOX 638415, CINCINNATI, OH 45263-0001
- **Mailing address phone:** (800) 424-3672
- **Mailing address fax:** (954) 377-3042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013