Individual
MR. JEPTHA NEWTON COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 N FLOWOOD DR, JACKSON, MS 39232-9532
(601) 933-2004
(601) 896-0112
Mailing address
204 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 933-2004
(601) 896-0112
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
15530
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126043
—
MS
Enumeration date
10/03/2006
Last updated
08/12/2019
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