Organization
THE WEST CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL GRAVES (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
4001 DORCAS DR, NASHVILLE, TN 37215-2210
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013755
—
MS
05
—
3704066
—
TN
Enumeration date
02/16/2022
Last updated
02/16/2022
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