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	174400000X	Specialist

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0106442	OTHER	TN	BCBS TN
5	8P003	OTHER	AR	AR BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447276605
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	:	901-322-2955

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	:	901-685-2969

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/24/2026

Similar Medicare Providers

1144610353 — THE WEST CLINIC P.C.
Practice Location Address:

7945 WOLF RIVER BLVD
GERMANTOWN, TN
38138-1762

Practice Phone: 901-683-0055
Practice Fax: 901-922-6722

1740289701 — DR. LINDA K HAN M.D.
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7945 WOLF RIVER BLVD
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1124028469 — MARK J SCOTT P.A.-C.
Practice Location Address:

7945 WOLF RIVER BLVD , STE 300
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1962402107 — BARRY BOSTON MD
Practice Location Address:

7945 WOLF RIVER BLVD , SUITE 300
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1639170665 — THOMAS WARREN RATLIFF MD
Practice Location Address:

7945 WOLF RIVER BLVD
GERMANTOWN, TN
38138-1762

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1407858368 — WILLIAM CLAY JACKSON MD
Practice Location Address:

7945 WOLF RIVER BLVD
GERMANTOWN, TN
38138-1762

Practice Phone: 901-683-0055
Practice Fax: 901-685-2969

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

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