Doctor Name: | DR. JAMES R COFFMAN |
NPI Number: | 1063574259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D MIN |
License Number: | 4 |
Business Practice Address: | 2112 Curve Woodville Road Coffman And Company Ripley, TN - 380638620 |
Business Phone Number: | 7316128544 |
Business Fax Number: | 7316128544 |
Mailing Address: | 2112 Cuve Woodville Road, Coffman And Company RIPLEY |
State: | TN |
Postal Code: | 380638620 |
Phone Number: | 7316128544 |
Fax Number: | 7316355130 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | 4 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |