Individual
INGRID ZAIB ANTONIO DA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 284-9027
Mailing address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 284-9027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
87286
GA
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
04/18/2016
Last updated
11/18/2020
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