Organization
WEST TN ER GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. PROCTOR MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
(901) 226-5618
Mailing address
PO BOX 638415, CINCINNATI, OH 45263-0001
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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