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1053470617
COFFEE FAMILY MEDICINE
DOUGLAS, GA
NPI
1053470617
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Entity Type
Organization
Authorized Contact
LYDIA TANNER
CEO
912-384-2353
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-12-08
Last Update Date
2020-08-22
Business Address
COFFEE FAMILY MEDICINE
200 DOCTORS DR STE 224
DOUGLAS, GA 31533-2201
Phone number: 912-384-2353
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Mailing Address
COFFEE FAMILY MEDICINE
200 DOCTORS DR STE 224
DOUGLAS, GA 31533-2201
Phone number: 912-384-2353
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