Coffee Medical Group Llc

NPI 1013969179 - General Acute Care Hospital - 282NR1301X

NPI Details
NPI 1013969179
Enumeration Date 05/17/2006
Last Updated 06/02/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MARTHA E MARTHA
Position CEO
Phone (931) 728-3586
Fax
Practice Location
481 INTERSTATE DR
MANCHESTER TN, 37355-3108, US
Phone (931) 728-3586
Fax
Business Location
481 INTERSTATE DR
MANCHESTER TN, 37355-3108, US
Phone (931) 728-6354
Fax
Toxanomy
Taxonomy Code 282NR1301X
License State Tennessee
License Number 0000000017
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According to our database, Coffee Medical Group Llc NPI is 1013969179, taxonomy code is 282NR1301X and license number is 0000000017, license state is located at Tennessee. Coffee Medical Group Llc physically located at 481 Interstate Dr, Manchester TN, 37355-3108. NPI Number 1033115704 has the healthcare provider type.

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1013969179 NPI number is provided on an as is basis without warranty of any kind. 1013969179 is maintained by the National Plan & Provider Enumeration System. The contents of Coffee Medical Group Llc are for informational purposes only.