Organization
COLE DERMATOLOGY & AESTHETIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA ANN COLE M.D. (OWNER)
(678) 417-6900
Entity
Organization
Contact information
Practice address
3655 HOWELL FERRY RD, STE 400, DULUTH, GA 30096-3186
(678) 417-6900
Mailing address
3655 HOWELL FERRY RD, STE 400, DULUTH, GA 30096-3186
(678) 417-6900
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
030406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302056161A
—
GA
Enumeration date
12/11/2007
Last updated
12/19/2011
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