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NPI Code Detail

MEDICARE: THE WEST CLINIC P.C.

MEDICARE: THE WEST CLINIC P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1477270312
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WEST CLINIC P.C.
Provider Business Mailing Address
First Line : 7714 POPLAR AVE STE 200
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3941
Country : US
Telephone Number : 901-683-0055
Fax Number :
Provider Business Practice Location Address
First Line : 6005 PARK AVE STE 700
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-5217
Country : US
Telephone Number : 901-527-3391
Fax Number : 901-578-3969
Authorized Official
Title or Position : CEO
Name : JOHN MITCHELL GRAVES
Credential :
Telephone Number : 901-683-0055
Provider Enumeration Date : 10/21/2022
Last Update Date : 03/25/2026

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Directions to “THE WEST CLINIC P.C. ” Practice Location

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