Organization
WT UNIVERSITY MEDICAL ASSOCIATES INC
Active
Other names
West Tennessee Medical Group UT Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 660-8739
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
01/31/2019
Last updated
10/30/2025
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