Vanderbilt Coffee Hospital, LLC

NPI #1417543646 in Tullahoma, Tennessee

Provider Information

NPI Number: 1417543646
Entity Type: Organization
Organization Name: Vanderbilt Coffee Hospital, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2020
Last Updated: Aug 16, 2021

Practice Location

Address: 1801 N JACKSON ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388-8259
Phone: (931) 393-3000

Authorized Official

Name: ANGELA L SIMMONS
Title: VP - FINANCE
Phone: (615) 936-8875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Hospitalist	208M00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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