Provider Demographics
NPI:1750826012
Name:ONE TO ONE HEALTH PLLC
Entity Type:Organization
Organization Name:ONE TO ONE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:COFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-718-1988
Mailing Address - Street 1:1531 HUNT CLUB BLVD
Mailing Address - Street 2:#304
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1531 HUNT CLUB BLVD
Practice Address - Street 2:#304
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6095
Practice Address - Country:US
Practice Address - Phone:423-718-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty