JUSTIN COLE

LAUREL, MS
NPI1588053052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R885111)
Enumeration Date2015-01-21
Last Update Date2021-05-24
Business Address
JUSTIN COLE NP
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
Mailing Address
JUSTIN COLE NP
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4560