Individual
DR. BRYAN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
471 SCENIC HWY SOUTH, LAWRENCEVILLE, GA 30046
(404) 625-7540
Mailing address
471 SCENIC HWY SOUTH, LAWRENCEVILLE, GA 30046
(404) 625-7540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010121
GA
Other
Enumeration date
07/24/2019
Last updated
08/13/2019
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