| West Tennessee Physical Medicine, Pllc | |
|
1024 Mineral Wells Avenue Paris TN 38242 | |
| (731) 644-9000 | |
| (731) 644-9006 |
| Full Name | West Tennessee Physical Medicine, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1024 Mineral Wells Avenue, Paris, Tennessee |
| Authorized Official Name and Position | Stephen Dustin Forrester (OWNER) |
| Authorized Official Contact | 7316449000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Tennessee Physical Medicine, Pllc 1024 Mineral Wells Avenue Paris TN 38242 Ph: (731) 644-9000 | West Tennessee Physical Medicine, Pllc 1024 Mineral Wells Avenue Paris TN 38242 Ph: (731) 644-9000 |
| NPI Number | 1083963946 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083963946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0000027058 (Tennessee) | Primary |
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