Provider First Line Business Practice Location Address:
2112 CURVE WOODVILLE ROAD
Provider Second Line Business Practice Location Address:
COFFMAN AND COMPANY
Provider Business Practice Location Address City Name:
RIPLEY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38063-8620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-612-8544
Provider Business Practice Location Address Fax Number:
731-612-8544
Provider Enumeration Date:
12/14/2006