Individual
MR. MARK CHRISTOPHER COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
200 MEMORIAL DR, LURAY, VA 22835-1000
(540) 743-4561
Mailing address
2365 KERR DR, VIRGINIA BEACH, VA 23454-6564
(757) 426-5439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017137066
VA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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