Organization
WT REGIONAL MEDICAL ASSOCIATES
Active
Parent organization
JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
108 W 15TH ST, CARUTHERSVILLE, MO 63830-2202
(573) 333-0033
(573) 333-2522
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
10/30/2025
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