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Organization

COFFMAN CHIROPRACTIC LIFE CENTERS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE C COLE D.C. (DIRECTOR)
(423) 892-2717
Entity
Organization

Contact information

Practice address
4289 BONNY OAKS DR STE 107, CHATTANOOGA, TN 37406-1600
(423) 892-2717
(423) 892-9985
Mailing address
4289 BONNY OAKS DR STE 107, CHATTANOOGA, TN 37406-1600
(423) 892-2717
(423) 892-9985

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000744
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3053339
BLUE CROSS BLUE SHIELD
TN
05
3676374
TN
Enumeration date
06/06/2007
Last updated
08/27/2020
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