Provider Demographics
NPI:1841252905
Name:COLE, ANNE-MARIE VALERIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:VALERIE
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SANDY PLAINS ROAD
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:355 TOWER RD NE STE 300
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:770-427-2457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA068762207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN7014369OtherAETNA
GAP01123170OtherRAILROAD MEDICARE
MN1296304OtherAMERICA'S PPO
MNHP33281OtherHEALTHPARTNERS
GA003129117AMedicaid
MN1027330OtherPREFERRED ONE
MN150127500Medicaid
MN151736OtherUCARE MN
MN0403026OtherMEDICA
MN43F80COOtherBCBS OF MN
MNHP33281OtherHEALTHPARTNERS
MN1296304OtherAMERICA'S PPO
GAP01123170OtherRAILROAD MEDICARE
GA20211I8231Medicare PIN