Organization
GARY W COLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W COLE DO (OWNER)
(931) 552-6722
Entity
Organization
Contact information
Practice address
305 DOVER RD, CLARKSVILLE, TN 37042
(931) 552-6722
(931) 572-6979
Mailing address
305 DOVER RD, CLARKSVILLE, TN 37042
(931) 552-6722
(931) 552-6979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1558
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4192065
BCBS GROUP
TN
Enumeration date
08/19/2008
Last updated
01/21/2009
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