Acosta, Brick

Acosta, Brick is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Acosta, Brick can be contacted via phone (912) 535-5555.

Contact Information

Primary practice address
1 Meadows Pkwy Vidalia GA 30474-8759
Phone: (912) 535-5555
Fax: (912) 535-5830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047559 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 047559 Georgia

Profile Details

NPI number 1083607956
LBN Legal business name Acosta, Brick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083607956 NPPES
Georgia MEDICAID 00841387E

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