Individual
JAMES COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 S. LIBERTY STREET, RUSSIAVILLE, IN 46979
(765) 883-2273
(765) 883-5168
Mailing address
3660 HOWELL FERRY RD, BLDG B, DULUTH, GA 30096-3178
(765) 883-2273
(765) 883-5168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000210
IN
Other
Enumeration date
10/31/2006
Last updated
05/26/2017
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