Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2010-00251 | NC |
NPI | 1003037359 |
---|---|
Provider Name | Dr. Ian Oluremilekun Cole |
First Address | Charlotte, NC 28220-1801 |
Second Address | Gastonia, NC 28054-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 11/06/2013 |