TANNER GRANT COLE

BRIDGEPORT, WV
NPI1407626567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WV  107935)
Enumeration Date2024-01-08
Last Update Date2024-06-12
Business Address
TANNER GRANT COLE FNP-C
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1100
Mailing Address
TANNER GRANT COLE FNP-C
911 BUNNER RIDGE RD
FAIRMONT, WV 26554-5070
Phone number: 304-657-6981
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