Modo, Anastacia P

Modo, Anastacia P is an sole proprietor health care provider with primary practice located at 2496 Columbia Dr , Decatur GA 30034-1769. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Modo, Anastacia P can be contacted via phone (404) 534-9222.

Contact Information

Primary practice address
2496 Columbia Dr Decatur GA 30034-1769
Phone: (404) 534-9222
Fax: (404) 534-9063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN241610 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 241610 Georgia

Profile Details

NPI number 1831692110
LBN Legal business name Modo, Anastacia P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2018
Last updated Apr 22nd, 2026 - about 6 months 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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