Organization
WT MEDICAL ASSOCIATES
Active
Other names
West Tennessee Medical Group Primary Care & Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
1720 WOODLAWN AVE STE 1, DYERSBURG, TN 38024-1300
(731) 287-4500
(731) 287-4804
Mailing address
1720 WOODLAWN AVE STE 1, DYERSBURG, TN 38024-1300
(731) 287-4500
(731) 287-4804
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-8918
—
TN
Enumeration date
08/17/2019
Last updated
03/27/2025
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