Individual
THERESA ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1086 FRANKLIN ST, SUITE 3002, JOHNSTOWN, PA 15905-4305
(814) 534-9194
(814) 534-5847
Mailing address
1650 SKYLYN DR, SUITE 240, SPARTANBURG, SC 29307-1047
(843) 253-8100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1113
SC
208600000X
Surgery Physician
OT010330
PA
2086S0129X
Vascular Surgery Physician
Primary
1113
SC
2086S0129X
Vascular Surgery Physician
OS013873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011138
—
SC
Enumeration date
04/03/2007
Last updated
11/19/2015
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