Coffee Family Medicine, Pc

LBN: Coffee Family Medicine, Pc
Coffee Family Medicine, Pc is an health care organization with primary practice located at 200 Doctors Dr Suite 224, Douglas GA 31533-2201. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Coffee Family Medicine, Pc can be contacted via phone (912) 384-2353, or through Tanner, Lydia via phone (912) 384-2353.

Contact Information

Primary practice address
200 Doctors Dr Suite 224 Douglas GA 31533-2201
Phone: (912) 384-2353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Lydia Doctor of Medicine (MD)
Phone: (912) 384-2353

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53885 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004691 Georgia

Profile Details

NPI number 1265456669
LBN Legal business name Coffee Family Medicine, Pc
DBA Doing business as
Authorized official Tanner, Lydia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 19th, 2012 - about 12 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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