Organization
DRS COFFEY INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUGHETT CHAMBERS (MANAGER)
(423) 215-6957
Entity
Organization
Contact information
Practice address
377 INDUSTRIAL LN, ONEIDA, TN 37841-6276
(423) 286-4000
(423) 286-4001
Mailing address
377 INDUSTRIAL LN, ONEIDA, TN 37841-6276
(423) 286-4000
(423) 286-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09950
MEDICAL LICENSE
TN
01
—
22393
APRN
TN
01
—
2651
DOCTOR OF OSTEOPATHY
TN
01
—
48605
MEDICAL LICENSE
TN
Enumeration date
01/15/2019
Last updated
02/05/2020
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