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NPI Code Detail

MEDICARE: MRS. TAMMY KAY COLE

MEDICARE: MRS. TAMMY KAY COLE
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
1252Y00000XEarly Intervention Provider AgencyE838835WV

General Provider Information

NPI Number : 1982420204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY KAY COLE
Provider Business Mailing Address
First Line : 1605 MORGANTOWN AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-4511
Country : US
Telephone Number : 304-816-7691
Fax Number :
Provider Business Practice Location Address
First Line : 1605 MORGANTOWN AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-4511
Country : US
Telephone Number : 304-816-7691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 12/02/2024

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Directions to “ MRS. TAMMY KAY COLE ” Practice Location

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