Individual
MRS. LESLEY SHAWAN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2022 FAIRBURN RD STE D, DOUGLASVILLE, GA 30135-1062
(770) 942-1044
Mailing address
3080 STONE OAK DR, DOUGLASVILLE, GA 30135-1903
(678) 499-9834
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN230930
GA
Other
Enumeration date
05/04/2022
Last updated
07/15/2022
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