Organization
THE WEST CLINIC, PLLC
Active
Other names
West Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M GRAVES (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
1265 UNION AVE, THOMAS BASEMENT, MEMPHIS, TN 38104-3415
(901) 683-0055
(901) 322-2955
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704066
—
TN
Enumeration date
03/20/2014
Last updated
12/14/2021
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