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General NPI Number Information
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NPI Number | 1598893471
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Entity Type | Organization
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Legal Business Name | GREATER ATLANTA RADIATION ONCOLOGY CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2675 N DECATUR RD SUITE G03
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City | DECATUR
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State | GA
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Zip | 30033-6131
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Country | US
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Telephone | 404-501-6925
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Fax | 404-501-6930
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Provider Business Mailing Address
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Address Line | 179 WORTHINGTON WAY
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City | JONESBORO
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State | GA
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Zip | 30236-5588
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Country | US
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Telephone | 404-704-5887
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Fax | 678-565-0606
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. TONYA ECHOLS COLE
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Credential | MD
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Telephone | 404-501-6925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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License Number State |
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