Provider Demographics
NPI:1225185341
Name:COLE, JAMES E II (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:COLE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:728 NASHVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3102
Mailing Address - Country:US
Mailing Address - Phone:615-452-6899
Mailing Address - Fax:615-452-5884
Practice Address - Street 1:728 NASHVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3102
Practice Address - Country:US
Practice Address - Phone:615-452-6899
Practice Address - Fax:615-452-5884
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD 19007208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNE94533Medicare UPIN