Organization
COLE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDREW COLE MD (OWNER)
(229) 241-7546
Entity
Organization
Contact information
Practice address
2410 N OAK ST, VALDOSTA, GA 31602-2533
(229) 241-7546
(229) 469-5722
Mailing address
2410 N 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
Enumeration date
06/06/2012
Last updated
05/09/2017
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