Organization
COFFEE MEDICAL GROUP LLC
Active
Organization
COFFEE MEDICAL GROUP LLC
Active
Other names
United Regional Multi-Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA A JERNIGAN (CHIEF FINANCIAL OFFICER)
(931) 461-3415
Entity
Organization
Contact information
Practice address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 728-3586
(931) 461-2587
Mailing address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 728-3586
(931) 461-2587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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