Individual
MRS. CYNTHIA BLANKS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 533-4516
Mailing address
PO BOX 1115, SOUTH BOSTON, VA 24592-1115
(434) 517-3547
(434) 517-3887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172514
VA
Other
Enumeration date
06/29/2015
Last updated
07/29/2016
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