Individual
JIM COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S KEELER WOODS DR NW, MARIETTA, GA 30064-2027
(770) 428-0542
(770) 452-3678
Mailing address
510 S KEELER WOODS DR NW, MARIETTA, GA 30064-2027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8003
GA
Other
Enumeration date
05/21/2007
Last updated
03/31/2010
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