Individual
DR. TATIANA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
4414 LAKE BOONE TRL STE 405, RALEIGH, NC 27607-7520
(919) 876-8225
Mailing address
4414 LAKE BOONE TRL STE 405, RALEIGH, NC 27607-7520
(919) 876-8225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021-02329
NC
207VX0000X
Obstetrics Physician
2021-02329
NC
Other
Enumeration date
04/06/2017
Last updated
01/13/2022
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