Coffee County Internal Medicine,Pc

LBN: Coffee County Internal Medicine,Pc
Coffee County Internal Medicine,Pc is an health care organization with primary practice located at 1330 Cedar Ln Suite 1200, Tullahoma TN 37388-2283. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Coffee County Internal Medicine,Pc can be contacted via phone (931) 454-9090, or through Agnihotri, Dinesh via phone (931) 454-9090.

Contact Information

Primary practice address
1330 Cedar Ln Suite 1200 Tullahoma TN 37388-2283
Fax: (931) 454-0773
Website:
Authorized official contact:
Name: Agnihotri, Dinesh Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39341 Tennessee

Profile Details

NPI number 1942484787
LBN Legal business name Coffee County Internal Medicine,Pc
DBA Doing business as
Authorized official Agnihotri, Dinesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 28th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942484787 NPPES
Tennessee MEDICAID 3728587
Tennessee Other 3728587

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