Individual
SHANTE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1932
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(205) 705-0116
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN313826
GA
Other
Enumeration date
03/31/2019
Last updated
07/17/2023
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