Da Costa, Ingrid Zaib Antonio

Da Costa, Ingrid Zaib Antonio is an sole proprietor health care provider with primary practice located at 2124 Candler Rd , Decatur GA 30032-5572. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Da Costa, Ingrid Zaib Antonio can be contacted via phone (404) 836-0272.

Contact Information

Primary practice address
2124 Candler Rd Decatur GA 30032-5572
Phone: (404) 836-0272
Fax: (404) 284-9027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 87286 Georgia

Profile Details

NPI number 1467806257
LBN Legal business name Da Costa, Ingrid Zaib Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2016
Last updated Nov 18th, 2020 - about 5 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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