Organization
WEST CLINIC, PC
Active
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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