Organization
PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLEMAN (PRESIDENT)
(731) 427-0470
Entity
Organization
Contact information
Practice address
1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
(731) 427-0470
(731) 427-0995
Mailing address
1385 S HIGHLAND AVE, STE, B-1, JACKSON, TN 38301-7525
(731) 427-0470
(731) 427-0995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041832
TN
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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