Organization
WEST TENNESSEE ORTHOPAEDIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD JANOVICH M.D. (PRESIDENT)
(901) 201-1921
Entity
Organization
Contact information
Practice address
1995 HIGHWAY 51 S, SUITE 102, COVINGTON, TN 38019-3635
(901) 476-3424
(901) 475-3696
Mailing address
5192 BLACKWELL RD, MEMPHIS, TN 38134-3104
(901) 201-1921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD006167
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153325
—
TN
Enumeration date
06/26/2014
Last updated
06/26/2014
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