Etta Wilcia Boss Cole in Vidalia - Pediatrics
Etta Wilcia Boss Cole - NPI 1265513212
Etta Wilcia Boss Cole is a Pediatrics in Vidalia, Georgia. Etta Wilcia Boss Cole practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Etta Wilcia Boss Cole is 1265513212. The last update date is 2013-01-21.
Etta Wilcia Boss Cole's current location address is Po Box 569, Vidalia, Georgia. You can contact this provider via phone number 9125379355 and fax number 9125377038. The mailing address for Etta Wilcia Boss Cole is Po Box 569, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etta Wilcia Boss Cole |
|---|---|
| Address | Po Box 569, Vidalia, Georgia |
| Phone Number | 9125379355 |
| Fax Number | 9125377038 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265513212 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2013-01-21 |
Provider Mailing Address Detail
| Address | Po Box 569 |
|---|---|
| City | Vidalia |
| State | Georgia (GA) |
| Post Code | 30475 |
| Phone Number | 9125379355 |
| Fax Number | 9125377038 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 55541 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 588529933C | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Etta Wilcia Boss Cole?
The Etta Wilcia Boss Cole has been issued the NPI (National Provider Identifier) 1265513212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Etta Wilcia Boss Cole's physical address?
The Etta Wilcia Boss Cole is physically located at Po Box 569, in the city of Vidalia, GA, with the postal code 30475.
What is Etta Wilcia Boss Cole's area of expertise and its corresponding taxonomy classification?
The Etta Wilcia Boss Cole's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265513212 to Etta Wilcia Boss Cole?
The Centers for Medicare & Medicaid Services originally issued the 1265513212 to Etta Wilcia Boss Cole on 2006-10-18.
As of what date was the information pertaining to Etta Wilcia Boss Cole, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Etta Wilcia Boss Cole, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-21.