Individual
CAROLYN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
519 HARRIET ST, EVANSVILLE, IN 47710-1715
(812) 450-7720
(812) 450-7730
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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