Individual
MR. RECO T COLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2483 HERITAGE VLG, SUITE 16-238, SNELLVILLE, GA 30078-6140
(404) 933-1632
(888) 623-3021
Mailing address
2483 HERITAGE VLG, SUITE 16-238, SNELLVILLE, GA 30078-6140
(404) 933-1632
(888) 623-3021
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
172A00000X
Driver
Primary
055069601
GA
Other
Enumeration date
10/01/2008
Last updated
04/20/2012
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