NPI 1043537046
Coffee Medical Group LLC
Practice location
- Address
- 482 Interstate Dr Suite a, Manchester, TN 37355-3109
- Phone
- (931) 728-4718
- Fax
- (931) 728-1016
- Mailing address
- 482 Interstate Dr, Manchester, TN 37355-3109
Authorised official
- Name
- Robert J Couch
- Title
- Chief Executive Officer
- Phone
- (931) 728-6354
Registered specialties
Rural Health Clinic/Center
Primary
Registry record
- NPI
- 1043537046
- Entity type
- Organization
- NPI issued
- 29 Apr 2010
- Record last updated
- 9 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.