Individual
SHANE KOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7687
(662) 293-4347
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7687
(662) 293-4347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5829
TN
Other
Enumeration date
07/01/2021
Last updated
04/07/2025
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