West Tennessee Medical Group Inc

NPI 1053615955 - Surgery - 2086S0127X

NPI Details
NPI 1053615955
Enumeration Date 01/06/2011
Last Updated 09/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JAMA M JAMA
Position DIRECTOR
Phone (731) 660-8730
Fax (731) 660-8739
Practice Location
1804 HIGHWAY 45 BYP
SUITE 604
JACKSON TN, 38305-4436, US
Phone (731) 660-8730
Fax (731) 660-8739
Business Location
PO BOX 3669
JACKSON TN, 38303-3669, US
Phone (731) 660-8730
Fax (731) 660-8739
Toxanomy
Taxonomy Code 2086S0127X
License State
License Number
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According to our database, West Tennessee Medical Group Inc NPI is 1053615955, taxonomy code is 2086S0127X West Tennessee Medical Group Inc physically located at 1804 Highway 45 Byp, Jackson TN, 38305-4436. NPI Number 1033115704 has the healthcare provider type.

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1053615955 NPI number is provided on an as is basis without warranty of any kind. 1053615955 is maintained by the National Plan & Provider Enumeration System. The contents of West Tennessee Medical Group Inc are for informational purposes only.