Organization
WEST TENNESSEE MEDICAL GROUP INC
Active
Organization
WEST TENNESSEE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 660-8730
(731) 660-8739
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-8730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/06/2011
Last updated
10/30/2025
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