Provider Demographics
NPI:1730872656
Name:COLE, MAKAYLA MARIE
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:MARIE
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 JAMES COX RD
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-8133
Mailing Address - Country:US
Mailing Address - Phone:724-355-3049
Mailing Address - Fax:
Practice Address - Street 1:1516 JAMES COX RD
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-8133
Practice Address - Country:US
Practice Address - Phone:724-355-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife