Individual
RICHARD CLINTON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-2045
(931) 455-9960
Mailing address
2106 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-2045
(931) 455-9960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD021619
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3145745
BLUE CROSS BLUE SHIELD TN
TN
05
—
3145745
—
TN
05
—
3707865
—
TN
Enumeration date
09/15/2005
Last updated
05/27/2008
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