Astacio, Joseph
Astacio, Joseph is an individual health care provider with primary practice located at 350 Huntington Place Court , Mcdonough GA 30253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Astacio, Joseph can be contacted via phone (770) 957-3393.Contact Information
Primary practice address
350 Huntington Place Court
Mcdonough GA 30253
Phone: (770) 957-3393
Fax: (770) 957-4902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028494 | Georgia |
Profile Details
| NPI number | 1043390750 |
|---|---|
| LBN Legal business name | Astacio, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 7th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043390750 | NPPES |
| Georgia | MEDICAID | 00405523B |
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