Organization · Type 2 NPI
West Tennessee Medical Group Inc
Non-Pharmacy Dispensing Site · Jackson, TN
NPI number
1669192050
Active
Practice location
1410 US Highway 70 Byp
Jackson, TN 38301-5074
Fax (731) 574-2782
Mailing address
620 Skyline Dr
Jackson, TN 38301-3923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1669192050
West Tennessee Medical Group Inc's National Provider Identifier is 1669192050, issued on Aug 29, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Jackson, TN. The record was last updated on Aug 29, 2022.