| Coffee Family Medicine, Pc | |
|
200 Doctors Dr Suite 224 Douglas GA 31533-2201 | |
| (912) 384-2353 | |
| Not Available |
| Full Name | Coffee Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Doctors Dr, Douglas, Georgia |
| Authorized Official Name and Position | Lydia Tanner (PHYSICIAN) |
| Authorized Official Contact | 9123842353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee Family Medicine, Pc 200 Doctors Dr Suite 224 Douglas GA 31533-2201 Ph: (912) 384-2353 | Coffee Family Medicine, Pc 200 Doctors Dr Suite 224 Douglas GA 31533-2201 Ph: (912) 384-2353 |
| NPI Number | 1265456669 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265456669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53885 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 004691 (Georgia) | Secondary |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |