Organization
WEST CLINIC, PC
Active
Parent organization
WEST CLINIC,PC
Other names
Memphis Heart Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CLINIC,PC
Authorized official
MR. RONALD O DAVIS (CFO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
1790 HOSPITAL DRIVE, CLARKSDALE, MS 38614-7202
(662) 349-1900
(662) 349-2443
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 309-4027
(901) 312-2664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900735
—
MS
Enumeration date
06/26/2009
Last updated
11/10/2011
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