Individual
CHARLES E COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4092 FOXWOOD DR, STE 101, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
(757) 686-3507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101036825
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6080707
—
VA
Enumeration date
07/05/2006
Last updated
04/09/2010
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