Healthcare Provider Details

I. General information

NPI: 1598893471
Provider Name (Legal Business Name): GREATER ATLANTA RADIATION ONCOLOGY CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 N DECATUR RD SUITE G03
DECATUR GA
30033-6131
US

IV. Provider business mailing address

179 WORTHINGTON WAY
JONESBORO GA
30236-5588
US

V. Phone/Fax

Practice location:
  • Phone: 404-501-6925
  • Fax: 404-501-6930
Mailing address:
  • Phone: 404-704-5887
  • Fax: 678-565-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TONYA ECHOLS COLE
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 404-501-6925