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Individual
ERIC L. COLE
Active
Individual
ERIC L. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA11015019
MEDICARE PIN
SC
05
—
LL4697
—
SC
01
—
P00386810
MEDICARE RAILROAD PTAN#
GA
Enumeration date
05/12/2006
Last updated
12/14/2020
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