DRS Coffey Internal Medicine LLC

Organization Active NPI Internal Medicine Physician · Oneida, TN

NPI 1013481704 · NPPES record last updated Feb 5, 2020

Key facts

NPI
1013481704
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
DRS COFFEY INTERNAL MEDICINE LLC
Practice address
377 Industrial LN
Oneida, TN 37841-6276
Phone
(423) 286-4000
Fax
(423) 286-4001
NPI assigned
Jan 15, 2019
Organization subpart
No

Authorized official

Name
Jessica Hughett Chambers
Title
Manager
Phone
(423) 215-6957

National Provider Directory

Locations

377 Industrial Ln
Oneida, TN 37841
Phone (423) 286-4000

281 Underpass Dr
Oneida, TN 37841
Phone (423) 286-4000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207R00000X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

377 Industrial LN
Oneida, TN 37841-6276

Mailing address

377 Industrial LN
Oneida, TN 37841-6276
Phone (423) 286-4000

Other identifiers

IdentifierTypeStateIssuer
2651OtherTNDOCTOR OF OSTEOPATHY
48605OtherTNMEDICAL LICENSE
09950OtherTNMEDICAL LICENSE
22393OtherTNAPRN

Other providers in Oneida, TN

All providers in Oneida, TN · Internal Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.