Individual
COLE MCKEE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
109 MILLSAPS DR, HATTIESBURG, MS 39402-1587
(601) 818-2957
Mailing address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33128
MS
207W00000X
Ophthalmology Physician
5151009600
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
33128
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5101024179
—
MI
Enumeration date
06/15/2018
Last updated
07/10/2024
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