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
1	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144610353
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	:	901-922-6722

Provider Business Practice Location Address
First Line	:	7945 WOLF RIVER BLVD
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1762
Country	:	US
Telephone Number	:	901-683-0055
Fax Number	:	901-922-6722

Authorized Official
Title or Position	:	CEO
Name	:	JOHN M. GRAVES
Credential	:
Telephone Number	:	901-683-0055

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	03/25/2026

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1962402107 — BARRY BOSTON MD
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1639170665 — THOMAS WARREN RATLIFF MD
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1407858368 — WILLIAM CLAY JACKSON MD
Practice Location Address:

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

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