Individual
MR. RICHARD RYAN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
306 W RAY DR, HATTIESBURG, MS 39402-1045
(601) 606-9421
Mailing address
306 W RAY DR, HATTIESBURG, MS 39402-1045
(601) 606-9421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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