Organization
RENE R. ACOSTA INC.
Active
Other names
Chiro 101
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE RUBEN ACOSTA D.C. (PRESIDENT)
(404) 252-5077
Entity
Organization
Contact information
Practice address
236 JOHNSON FERRY RD NE STE 200, SANDY SPRINGS, GA 30328-3869
(404) 252-5077
Mailing address
2161 PEACHTREE RD NE APT 701, ATLANTA, GA 30309-1337
(404) 252-5077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR00781
GA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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