Organization
CENTRAL GEORGIA RADIATION ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COLE MD (AUTHORIZED OFFICIAL)
(478) 743-3466
Entity
Organization
Contact information
Practice address
800 1ST ST, SUITE 110, MACON, GA 31201-8300
(478) 743-3466
(478) 746-2049
Mailing address
PO BOX 2464, INDIANAPOLIS, IN 46206-2464
(478) 742-2997
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025310
—
GA
Enumeration date
10/27/2005
Last updated
06/23/2015
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