Individual
JUDY GAYLE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1589 SPARTA ST, SUITE 201, MCMINNVILLE, TN 37110-1332
(931) 815-0050
(931) 815-0040
Mailing address
1589 SPARTA ST, SUITE 201, MCMINNVILLE, TN 37110-1332
(931) 815-0050
(931) 815-0040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN070823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3156283
BLUE CROSS
TN
05
—
3904523
—
TN
Enumeration date
01/19/2007
Last updated
07/08/2007
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