# COLE FACIAL PLASTIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336238443
- **Authorized official:** MR. JEPTHA NEWTON COLE M.D. (PRESIDENT)
- **Authorized official phone:** (601) 933-2004

## Contact information

- **Practice address:** 1030 N FLOWOOD DR, STE A, JACKSON, MS 39232-9532
- **Practice address phone:** (601) 933-2004
- **Practice address fax:** (601) 896-0112
- **Mailing address:** 1030 N. FLOWOOD DR., STE A, JACKSON, MS 39232
- **Mailing address phone:** (601) 933-2004
- **Mailing address fax:** (601) 896-0112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 15530 | MS | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020