Valerie Modupeh Cole, FNP-C | |
505 Dacula Rd, Dacula, GA 30019-2125 | |
(678) 407-8750 | |
Not Available |
Full Name | Valerie Modupeh Cole |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 505 Dacula Rd, Dacula, 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 |
---|---|---|---|
1770822397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN145608 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tlc Of Georgia Llc | 5496924490 | 53 |
Entity Name | Tlc Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
Mailing Address | Practice Location Address |
---|---|
Valerie Modupeh Cole, FNP-C 426 Jasmine Dr, Winder, GA 30680-8510 Ph: (770) 823-9101 | Valerie Modupeh Cole, FNP-C 505 Dacula Rd, Dacula, GA 30019-2125 Ph: (678) 407-8750 |
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