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Individual
MR. JOSEPH COSTA
Active
Individual
MR. JOSEPH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN288232
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP288232
GA
Other
Enumeration date
12/03/2021
Last updated
10/30/2025
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