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NPI Code Detail

MEDICARE: ADAM J COLE M.D.

MEDICARE: ADAM J COLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianR3298TX
2208D00000XGeneral Practice Physician2013042434MO
3208D00000XGeneral Practice PhysicianE-8126AR
4207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianE 8126AR

General Provider Information

NPI Number : 1144431883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM J COLE M.D.
Provider Business Mailing Address
First Line : 5100 TALLEY RD STE 300
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-8040
Country : US
Telephone Number : 501-500-6640
Fax Number :
Provider Business Practice Location Address
First Line : 5100 TALLEY RD STE 300
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-8040
Country : US
Telephone Number : 501-500-6640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 05/19/2023

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