Individual
BEN DEAN COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
304 CHURCH ST, SWEETWATER, TN 37874-1181
(865) 213-8594
(865) 213-8596
Mailing address
304 CHURCH ST, SWEETWATER, TN 37874-1181
(865) 213-8594
(865) 213-8596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131926
BLUE CROSS
—
05
—
3305674
—
TN
Enumeration date
07/13/2005
Last updated
08/08/2007
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