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Organization
GREATER ATLANTA RADIATION ONCOLOGY CONSULTANTS, LLC
Active
Organization
GREATER ATLANTA RADIATION ONCOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA ECHOLS COLE MD (MANAGING MEMBER)
(404) 501-6925
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE G03, DECATUR, GA 30033-6131
(404) 501-6925
(404) 501-6930
Mailing address
179 WORTHINGTON WAY, JONESBORO, GA 30236-5588
(404) 704-5887
(678) 565-0606
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000835788R
—
GA
01
—
10068321
AMERIGROUP
GA
01
—
117237
PEACHSTATE
GA
01
—
12557
1ST MEDICAL NETWORK
GA
01
—
172201200452
HUMANA
GA
01
—
287785207
CHAMPUS
GA
01
—
30 00519
UHC
GA
01
—
36 00519
UNITED HEALTHCARE
GA
01
—
7488088
AETNA US HEALTHCARE
GA
01
—
782373(EMC)
BLUE CROSS BLUE SHIELD
GA
01
—
P00231025
RR MEDICARE PALMETTO GBA
GA
Enumeration date
03/01/2007
Last updated
06/21/2018
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