Individual
MRS. PORTIA MASON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OB-GYN NP
Contact information
Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3600
Mailing address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3600
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
58970
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZF0000031
—
NC
Enumeration date
08/25/2008
Last updated
08/01/2013
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