=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043923766
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALICIA MICHELE COLE FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2022
-----------------------------------------------------
Last Update Date | 10/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2131 PLEASANT HILL RD
-----------------------------------------------------
City | DULUTH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30096-2321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-943-9996
-----------------------------------------------------
Fax | 404-943-9975
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2131 PLEASANT HILL RD STE 124
-----------------------------------------------------
City | DULUTH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30096-4657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 470-289-0924
-----------------------------------------------------
Fax | 770-622-2369
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 905700
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | GAA-NP001793
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------