# COFFEE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Unity Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407431943
- **Authorized official:** DOUG MCABEE (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (931) 450-1109

## Contact information

- **Practice address:** 6290 MANCHESTER HWY, MORRISON, TN 37357-7589
- **Practice address phone:** (931) 128-6354
- **Mailing address:** 481 INTERSTATE DR, MANCHESTER, TN 37355-3108
- **Mailing address phone:** (931) 450-1109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 03/16/2021