Individual
DR. AALIYAH DEMI' COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5300
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1066
MS
152W00000X
Optometrist
3773
TN
Other
Enumeration date
08/11/2022
Last updated
08/29/2023
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