Wiberley, Cole Belton

Wiberley, Cole Belton is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Wiberley, Cole Belton can be contacted via phone (770) 794-0477.

Contact Information

Primary practice address
677 Church St Ne Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 005429 Georgia

Profile Details

NPI number 1215187711
LBN Legal business name Wiberley, Cole Belton
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Aug 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215187711 NPPES
Georgia MEDICAID 444906161A

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