Individual
JACQUELINE N COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, STE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1153
Mailing address
1600 MEDICAL CENTER DR, STE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
(304) 691-1153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20005
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807624000
—
WV
05
—
2269914
—
OH
05
—
64039076
—
KY
Enumeration date
03/29/2006
Last updated
09/26/2012
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