Provider Demographics
NPI:1831273549
Name:COLE, MARGEVA MORRIS (MD)
Entity type:Individual
Prefix:
First Name:MARGEVA
Middle Name:MORRIS
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DURHAM OB GYN
Mailing Address - Street 2:2609 N DUKE ST STE 204
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-220-5435
Mailing Address - Fax:919-220-5572
Practice Address - Street 1:DURHAM OB GYN
Practice Address - Street 2:2609 N DUKE ST STE 204
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-220-5435
Practice Address - Fax:919-220-5572
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97-00513207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891047GMedicaid
NC2240031EMedicare PIN
NC2240031DMedicare PIN
NC2240031BMedicare PIN
G49401Medicare UPIN
NC2240031CMedicare PIN