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Organization
COFFEE MEDICAL GROUP LLC
Active
Organization
COFFEE MEDICAL GROUP LLC
Active
Other names
dba United Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GEORGE (CHIEF FINANCIAL OFFICER)
(931) 461-3439
Entity
Organization
Contact information
Practice address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 461-3436
(931) 461-2587
Mailing address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 461-3436
(931) 461-2587
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000017
TN
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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