Etta Wilcia Boss Cole, MD - Pediatrics in Vidalia, GA

Etta Wilcia Boss Cole, MD is a Pediatrics physician based in Vidalia, Georgia. Etta Wilcia Boss Cole is licensed to practice in Georgia (license number 055541) and her current practice location is 414 Lugenia Blvd, Vidalia, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 537-9355.

NPI number for Etta Wilcia Boss Cole is 1265513212 and her current mailing address is Po Box 569, 414 Lugenia Blvd, Vidalia, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265513212.

Contact Information

Etta Wilcia Boss Cole, MD
414 Lugenia Blvd,
Vidalia, GA 30474
(912) 537-9355
(912) 537-7038

Map and Direction




Physician's Profile

Full NameEtta Wilcia Boss Cole
GenderFemale
SpecialityPediatrics
Location414 Lugenia Blvd, Vidalia, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265513212
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 01/21/2013

Medical Identifiers

Medical identifiers for Etta Wilcia Boss Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265513212NPI-NPPES
588529933CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 055541 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Etta Wilcia Boss Cole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Etta Wilcia Boss Cole, MD
Po Box 569, 414 Lugenia Blvd,
Vidalia, GA 30475

Ph: (912) 537-9355
Etta Wilcia Boss Cole, MD
414 Lugenia Blvd,
Vidalia, GA 30474

Ph: (912) 537-9355

Reviews and Comments


Pediatrics Doctors in Vidalia, GA

Dr. Erin Breeann Lindholm, MD
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Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Lauren Courtney Miller, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Dr. Katrina Mcclane Leshanski, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Timothy Caron Horton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1702 Meadows Ln Ste A, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Caryn J. Masterman-smith, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Callie Wilkes,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    

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