Coffee Family Medicine

NPI #1053470617 in Douglas, Georgia

Provider Information

NPI Number
1053470617
Entity Type
Organization
Organization Name
Coffee Family Medicine
Primary Specialty
Family Medicine
Enumeration Date
Dec 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
200 DOCTORS DR
Address 2
STE 224
State
Georgia
ZIP Code
31533-2201
Phone
(912) 384-2353

Authorized Official

Name
LYDIA TANNER
Title
CEO
Phone
(912) 384-2353

Specialties & Taxonomy Codes

Specialty
Family Medicine

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