Organization
THE WEST CLINIC P.C.
Active
Other names
West Clinic, PC, The West Clinic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M GRAVES (CEO)
(901) 683-0055
Entity
Organization
Contact information
Practice address
7668 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5304
(662) 349-9556
(662) 349-0559
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013755
—
MS
05
—
132175002
—
AR
05
—
500557509
—
MO
01
—
8P003
BCBS AR
AR
Enumeration date
11/14/2006
Last updated
03/25/2026
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