Individual
JOSE H ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1299 INTERSTATE PKWY, AUGUSTA, GA 30909-6481
(706) 863-2246
(706) 863-6062
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
(706) 790-4393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025499
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000302684A
—
GA
05
—
022167194A
—
GA
05
—
G25499
—
SC
Enumeration date
12/15/2005
Last updated
02/18/2021
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