Shante Cole, | |
1364 Clifton Rd Ne, Atlanta, GA 30322-1932 | |
(404) 712-2000 | |
Not Available |
Full Name | Shante Cole |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1364 Clifton Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104387109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | RN313826 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Georgia Kidney Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932183654 PECOS PAC ID: 1951399799 Enrollment ID: O20040503000302 |
Mailing Address | Practice Location Address |
---|---|
Shante Cole, 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: (205) 705-0116 | Shante Cole, 1364 Clifton Rd Ne, Atlanta, GA 30322-1932 Ph: (404) 712-2000 |
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