Individual
COLE WINBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2000
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4220
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/11/2021
Last updated
01/04/2022
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