Organization
WT MEDICAL ASSOCIATES
Active
Other names
West Tennessee Medical Group Pediatrics Paris Henry C
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
243 JIM ADAMS DRIVE, PARIS, TN 38242-4967
(731) 644-8479
(731) 644-3719
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448976
—
TN
Enumeration date
09/23/2016
Last updated
10/30/2025
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