Individual
DR. GIANCARLO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 534-2020
(770) 534-8025
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP344
KY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
89458
GA
Other
Enumeration date
08/04/2011
Last updated
07/21/2022
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