Individual
JOHN ANDREW COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2410N OAK ST, VALDOSTA, GA 31602-2533
(229) 241-7546
(229) 469-5722
Mailing address
2410N OAK ST, VALDOSTA, GA 31602-2533
(229) 241-7546
(229) 469-5722
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
065951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I077955
MEDICARE PTAN
GA
Enumeration date
06/30/2008
Last updated
07/10/2015
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