Individual
JOHNNA DALE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5426 EMORY GRIFFIN RD, GILLSVILLE, GA 30543-3119
(770) 530-4617
Mailing address
5426 EMORY GRIFFIN RD, GILLSVILLE, GA 30543-3119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
142053
GA
246ZC0007X
Surgical Assistant
Primary
—
GA
Other
Enumeration date
03/04/2026
Last updated
04/07/2026
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