Organization
WT MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
1629 WOODLAWN AVE, DYERSBURG, TN 38024
(731) 512-1277
(731) 285-1440
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037006
—
TN
Enumeration date
04/25/2018
Last updated
10/30/2025
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