Etta Wilcia Boss Cole
MD | Pediatrics | Female
Etta Wilcia Boss Cole, MD is a Vidalia, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Etta Wilcia Boss Cole is
414 Lugenia Blvd, Vidalia, Georgia - 30474. She can be contacted on phone at
912-537-9355 and fax number 912-537-7038.
Etta Wilcia Boss Cole is a sole proprietor of her business.
NPI number (Unique professional ID) for Etta Wilcia Boss Cole is
1265513212 which was assigned by NPPES on 18 Oct, 2006 and it was last updated on 21 Jan, 2013.
Etta Wilcia Boss Cole license number is
055541 for Pediatrics (208000000X) in Georgia.
Etta Wilcia Boss Cole is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Etta Wilcia Boss Cole basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Etta Wilcia Boss Cole |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Etta Wilcia Boss Cole address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 414 Lugenia Blvd
Vidalia, GA, 30474
United States |
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| Phone Number : | 912-537-9355 |
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| Fax Number : | 912-537-7038 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265513212 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Oct, 2006 |
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| Last Updated On : | 21 Jan, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etta Wilcia Boss Cole are as mentioned. Primary taxonomy code for Etta Wilcia Boss Cole, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 055541 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Etta Wilcia Boss Cole such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 588529933C | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 569, 414 Lugenia Blvd
Vidalia, GA, 30475
United States |
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| Phone Number : | 912-537-9355 |
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| Fax Number : | 912-537-7038 |
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Business Location:
Patients can refer following map for directions to
Etta Wilcia Boss Cole practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.