Individual
COLE DATTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
2526 ANNIE BAXTER AVE, JOPLIN, MO 64804-0333
(913) 948-0595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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