Individual
DR. COLE A. GILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4581
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8403
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
061885
GA
207T00000X
Neurological Surgery Physician
G8850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105029605
—
TX
05
—
105029606
—
TX
01
—
8BR087
BCBS
TX
01
—
8P8211
BCBS
TX
Enumeration date
06/26/2006
Last updated
11/30/2012
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