Allen Michael Blackburn Costa MD

NPI 1740690924 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1740690924
Gender Male
Enumeration Date 04/28/2014
Last Updated 04/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
EMORY UNIVERSITY HOSPITAL
1364 CLIFTON RD. NE
ATLANTA GA, 30332-1064, US
Phone (404) 712-2000
Fax
Business Location
EMORY UNIVERSITY HOSPITAL
1364 CLIFTON RD. NE
ATLANTA GA, 30332-1064, US
Phone (404) 712-2000
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Allen Michael Blackburn Costa MD NPI is 1740690924, taxonomy code is 390200000X Allen Michael Blackburn Costa MD physically located at Emory University Hospital, Atlanta GA, 30332-1064. NPI Number Allen Michael Blackburn Costa MD has the Individual type.

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1740690924 NPI number is provided on an as is basis without warranty of any kind. 1740690924 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Michael Blackburn Costa MD are for informational purposes only.