Individual
WILFRED Q COLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SOUTH MAIN ST, STE C1, ALPHARETTA, GA 30004
(770) 475-0807
(770) 751-8421
Mailing address
114 TOWNPARK DR NW, SUITE 240, KENNESAW, GA 30144-3715
(770) 952-8612
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
026486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00292102E
—
GA
Enumeration date
06/08/2006
Last updated
08/11/2010
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