Individual
DR. LARRY W COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
959 WHITE STATION ROAD S, MEMPHIS, TN 38117
(901) 767-8824
(901) 767-8822
Mailing address
959 WHITE STATION ROAD S, MEMPHIS, TN 38117
(901) 767-8824
(901) 767-8822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009050
BLUE CROSS
—
01
—
T74775
HCFA
—
Enumeration date
06/26/2007
Last updated
09/05/2012
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