Organization
CHISHOLM TRAIL URGENT CARE PLLC
Active
Parent organization
CHISHOLM TRAIL URGENT CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHISHOLM TRAIL URGENT CARE PLLC
Authorized official
SHANE PARKER COLE MD (MEMBER)
(405) 705-5977
Entity
Organization
Contact information
Practice address
11 TSYS WAY, COLUMBUS, GA 31901
(877) 485-4474
Mailing address
PO BOX 722676, NORMAN, OK 73070-9033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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