Provider Demographics
NPI:1043474968
Name:WEST TENNESSEE SURGICAL PLC
Entity Type:Organization
Organization Name:WEST TENNESSEE SURGICAL PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:TOSH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:731-285-4345
Mailing Address - Street 1:1150 HWY 51 BY-PASS WEST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-1889
Mailing Address - Country:US
Mailing Address - Phone:731-285-4345
Mailing Address - Fax:731-285-4344
Practice Address - Street 1:1150 HWY 51 BY-PASS WEST
Practice Address - Street 2:SUITE C
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1889
Practice Address - Country:US
Practice Address - Phone:731-285-4345
Practice Address - Fax:731-285-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty