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General NPI Number Information
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NPI Number | 1245152727
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CARE SERVICES OF WEST TN, INC.
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2380 HENRY ST
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City | DYERSBURG
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State | TN
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Zip | 38024-1847
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Country | US
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Telephone | 844-727-2778
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Fax | 901-476-2498
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Provider Business Mailing Address
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Address Line | 1997 HIGHWAY 51 S
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City | COVINGTON
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State | TN
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Zip | 38019-3630
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Country | US
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Telephone | 844-727-2778
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Fax | 901-476-2498
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Authorized Official
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Title or Position | DIRECTOR OF HR AND CREDENTIALING
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Name | EMILY D GRIGGS
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Credential | GRIGGS
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Telephone | 844-727-2778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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