NPI: 1992877369
Provider Name: THE WEST CLINIC, PLLC
Former Legal Business Name: WEST CLINIC, PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization
Specialization: Hematology & Oncology
Address:
7668 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9556
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THE WEST CLINIC, PLLC is a hematology and oncology internal medicine in Southaven, MS. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. THE WEST CLINIC, PLLC NPI is 1992877369. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is West Clinic, Pc.
The provider's business location address is:
7668 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-304
Phone: (662) 349-9556
Fax: (662) 349-0559
The provider's authorized official is John M Graves .
The authorized official title is Ceo and has the following contact phone number (901) 683-0055.
The enumeration date for this NPI number is 11/14/2006 and was last updated on 12/14/2021.