Acevedo, Jose H

Acevedo, Jose H is an individual health care provider with primary practice located at 1299 Interstate Pkwy , Augusta GA 30909-6481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Acevedo, Jose H can be contacted via phone (706) 863-2246.

Contact Information

Primary practice address
1299 Interstate Pkwy Augusta GA 30909-6481
Phone: (706) 863-2246
Fax: (706) 863-6062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025499 Georgia

Profile Details

NPI number 1356327027
LBN Legal business name Acevedo, Jose H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Feb 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356327027 NPPES
Georgia MEDICAID 022167194A
Georgia MEDICAID G25499
Georgia MEDICAID 000302684A

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