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Organization

COFFEE MEDICAL GROUP LLC

Active
Other names
CENTER FOR FAMILY MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT J COUCH (CEO)
(931) 728-6354
Entity
Organization

Contact information

Practice address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Mailing address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
19
TN

Other

Enumeration date
08/24/2010
Last updated
02/09/2024
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