Organization
WEST CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD O DAVIS (CFO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
201 LAKEVIEW RD, SUITE A, SOMERVILLE, TN 38068-9742
(901) 683-7936
(901) 786-6189
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 322-2994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
10/20/2011
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