Organization
THE WEST CLINIC, PLLC
Active
Other names
West Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL GRAVES (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
5740 THE FOREST GATE RD, MEMPHIS, TN 38120-2540
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704066
—
TN
Enumeration date
11/04/2020
Last updated
12/14/2021
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