Organization
GREATER ATLANTA RADIATION ONCOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA ECHOLS COLE MD (MANAGING MEMBER)
(404) 501-6925
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE G03, DECATUR, GA 30033-6131
(404) 501-6925
(404) 501-6930
Mailing address
179 WORTHINGTON WAY, JONESBORO, GA 30236-5588
(404) 704-5887
(678) 565-0606
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000835788R
—
GA
01
—
10068321
AMERIGROUP
GA
01
—
117237
PEACHSTATE
GA
01
—
12557
1ST MEDICAL NETWORK
GA
01
—
172201200452
HUMANA
GA
01
—
287785207
CHAMPUS
GA
01
—
30 00519
UHC
GA
01
—
36 00519
UNITED HEALTHCARE
GA
01
—
7488088
AETNA US HEALTHCARE
GA
01
—
782373(EMC)
BLUE CROSS BLUE SHIELD
GA
01
—
P00231025
RR MEDICARE PALMETTO GBA
GA
Enumeration date
03/01/2007
Last updated
06/21/2018
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