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Individual

DR. MALCOLM HENRY COLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
931 LOWER FAYETTEVILLE RD STE J, NEWNAN, GA 30263-5790
(770) 253-0170
(770) 253-0206
Mailing address
PO BOX 1156, NEWNAN, GA 30264-1156
(770) 253-0170
(770) 253-0206

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010505
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00112549A
GA
Enumeration date
12/15/2005
Last updated
02/19/2016
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