Individual
DR. MONICA MEJIA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036.119817
IL
2084N0400X
Neurology Physician
036119817
IL
2084N0400X
Neurology Physician
2009-01565
NC
2084N0400X
Neurology Physician
Primary
81613
GA
2084N0400X
Neurology Physician
ME115545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075213
MEDICARE PTAN, INDIVIDUAL
NC
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5913504
—
NC
01
—
ME115545
FLORIDA DEPT OF HEALTH
FL
Enumeration date
02/03/2008
Last updated
11/25/2024
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