Organization
RURAL HEALTH CLINICS OF WEST TN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT F OWEN (PRACTICE MANAGER)
(731) 286-0149
Entity
Organization
Contact information
Practice address
104 E MAIN ST, HALLS, TN 38040-1523
(731) 836-7700
(731) 836-7777
Mailing address
PO BOX 1209, DYERSBURG, TN 38025-1209
(731) 286-0149
(731) 286-6956
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730284
—
TN
05
—
3730286
—
TN
Enumeration date
09/28/2007
Last updated
03/12/2008
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