Basic Information
Provider Information
NPI: 1679665897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLE
FirstName: FRANCIS
MiddleName: HAMMOND
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 572 SOUTH MCLEAN BLVD
Address2:  
City: MEMPHIS
State: TN
PostalCode: 38104
CountryCode: US
TelephoneNumber: 9012745793
FaxNumber:  
Practice Location
Address1: 1030 JEFFERSON AVE
Address2: SURGERY DEPARTMENT
City: MEMPHIS
State: TN
PostalCode: 381042193
CountryCode: US
TelephoneNumber: 9015238990
FaxNumber: 9015777240
Other Information
ProviderEnumerationDate: 09/28/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X4538867TNY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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