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Individual

MR. JOSEPH COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1365C CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 712-2000
Mailing address
PO BOX 2253, ACWORTH, GA 30102-0005

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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