MEDICARE: DR. CHARLES COLE DC

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
1	111N00000X	Chiropractor	5770	NC

General Provider Information

NPI Number	:	1659120996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES COLE DC

Provider Business Mailing Address
First Line	:	8931 WHITLEY RD
Second Line	:
City	:	NORWOOD
State	:	NC
Zip	:	28128-7789
Country	:	US
Telephone Number	:	704-984-0332
Fax Number	:

Provider Business Practice Location Address
First Line	:	9325 CENTER LAKE DR STE 150
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-0785
Country	:	US
Telephone Number	:	704-494-4250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	05/17/2024

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Directions to “ DR. CHARLES COLE DC” Practice Location

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