Individual
MARTHA WILLIS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107A BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 670-3300
(276) 634-0379
Mailing address
1107A BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 670-3300
(276) 634-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204889
VA
Other
Enumeration date
03/16/2014
Last updated
09/10/2019
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