Brick Acosta M.D.

NPI 1083607956 - Hospitalist - 208M00000X

NPI Details
NPI 1083607956
Gender Male
Enumeration Date 08/25/2005
Last Updated 02/28/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1 MEADOWS PKWY
VIDALIA GA, 30474-8759, US
Phone (912) 535-5555
Fax (912) 535-5830
Business Location
PO BOX 663
VIDALIA GA, 30475-0663, US
Phone (912) 535-5800
Fax (912) 535-5830
Toxanomy
Taxonomy Code 208M00000X
License State Georgia
License Number 047559
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According to our database, Brick Acosta M.D. NPI is 1083607956, taxonomy code is 208M00000X and license number is 047559, license state is located at Georgia. Brick Acosta M.D. physically located at 1 Meadows Pkwy, Vidalia GA, 30474-8759. NPI Number Brick Acosta M.D. has the Individual type.

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1083607956 NPI number is provided on an as is basis without warranty of any kind. 1083607956 is maintained by the National Plan & Provider Enumeration System. The contents of Brick Acosta M.D. are for informational purposes only.