Individual
MITCHELL COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2214 S KANAWHA ST, STE 7, BECKLEY, WV 25801-6763
(304) 237-5563
(304) 250-4948
Mailing address
1038 N EISENHOWER DR, SUITE 235, BECKLEY, WV 25801-3116
(304) 237-5563
(304) 250-4948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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