# CHEROKEE MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558403063
- **Authorized official:** MRS. KATY ELIZABETH COFFEY BES (CFO)
- **Authorized official phone:** (423) 745-2500

## Contact information

- **Practice address:** 500 DECATUR PIKE, ATHENS, TN 37303
- **Practice address phone:** (423) 745-2500
- **Practice address fax:** (423) 745-2571
- **Mailing address:** PO BOX 294, ATHENS, TN 37371
- **Mailing address phone:** (423) 745-2500
- **Mailing address fax:** (423) 745-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1261 | TN | — |
| 207Q00000X | Family Medicine Physician | DO1481 | TN | Yes |
| 208000000X | Pediatrics Physician | MD28936 | TN | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 12/06/2007