Individual
DR. CARLA SIMPSON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216
(601) 984-6028
Mailing address
2500 N STATE STREET, JACKSON, MS 39216
(601) 984-6028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
337706
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659447
UNITED CONCORDIA
MS
Enumeration date
02/01/2007
Last updated
06/03/2009
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