WT MEDICAL ASSOCIATES; NPI #1427604198

Contact Information

WT MEDICAL ASSOCIATES

1720 WOODLAWN AVE STE 1
DYERSBURG, TN 38024-1300

Phone: 731-287-4500
Fax: 731-287-4804
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for WT MEDICAL ASSOCIATES

NPI Number 1427604198

LBN Legal business name WT MEDICAL ASSOCIATES

Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/17/2019

Last updated 03/27/2025 - More than a year ago

Identifiers

Medicaid

044-8918

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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