Individual
TINORA COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 LINDSY BROOKE CT, DOUGLASVILLE, GA 30135-3075
(678) 708-6931
Mailing address
3545 LINDSY BROOKE CT, DOUGLASVILLE, GA 30135-3075
(678) 708-6931
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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