Individual
MARCIA MEGAN COLE
Active
Individual
MARCIA MEGAN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110002756
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00352604
RAILROAD MEDICARE
—
01
—
P00686672
MEDICARE RAILROAD
VA
Enumeration date
09/16/2005
Last updated
05/08/2009
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