Individual
MRS. DORI MAUREEN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(404) 513-8419
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(404) 513-8419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198901
GA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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