| Primary Care Specialists Of West Tennessee, Llc | |
|
1385 S Highland Ave Ste, B-1 Jackson TN 38301-7525 | |
| (731) 427-0470 | |
| (731) 427-0995 |
| Full Name | Primary Care Specialists Of West Tennessee, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1385 S Highland Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Mike Coleman (PRESIDENT) |
| Authorized Official Contact | 7314270470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists Of West Tennessee, Llc 1385 S Highland Ave Ste, B-1 Jackson TN 38301-7525 Ph: (731) 427-0470 | Primary Care Specialists Of West Tennessee, Llc 1385 S Highland Ave Ste, B-1 Jackson TN 38301-7525 Ph: (731) 427-0470 |
| NPI Number | 1235594748 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235594748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041832 (Tennessee) | Primary |
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