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NPI Code Detail

MEDICARE: DR. ELIZABETH DIANNE COLE MD

MEDICARE: DR. ELIZABETH DIANNE COLE MD
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
1207Q00000XFamily Medicine Physician18226MS

General Provider Information

NPI Number : 1265470900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH DIANNE COLE MD
Provider Business Mailing Address
First Line : 3840 GAULT AVE N
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-5211
Country : US
Telephone Number : 256-844-4975
Fax Number : 256-844-4978
Provider Business Practice Location Address
First Line : 3840 GAULT AVE N
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-5211
Country : US
Telephone Number : 256-844-4975
Fax Number : 256-844-4978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 12/18/2013

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Directions to “ DR. ELIZABETH DIANNE COLE MD” Practice Location

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