Individual
RONNIE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 FARMERS MOUNTAIN RD, GRETNA, VA 24557-2641
(434) 548-6445
Mailing address
PO BOX 503, GRETNA, VA 24557-0503
(434) 548-6445
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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