Individual
MS. CARLA THOMAS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE PRACTICAL NU
Contact information
Practice address
1203 BETHUNE DRIVE, VALDOSTA, GA 31601-6277
(850) 614-0862
Mailing address
524 EAST ROGER STREET, VALDOSTA, GA 31601
(229) 300-7871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN036734
GA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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