Individual
MICHAEL ANGEL ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 COMPTON WAY, SUWANEE, GA 30024-1452
(786) 351-2455
Mailing address
1325 COMPTON WAY, SUWANEE, GA 30024-1452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN9351907
GA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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