Adilson Dacosta, MD, MSC, PHD | |
3780 Holcomb Bridge Rd Ste C, Peachtree Corners, GA 30092-4877 | |
(770) 263-9101 | |
Not Available |
Full Name | Adilson Dacosta |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 3780 Holcomb Bridge Rd Ste C, Peachtree Corners, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518541788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NP0225X | Dermatology - Pediatric Dermatology | 1190 (Georgia) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 34278 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Adilson Dacosta, MD, MSC, PHD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (704) 284-2511 | Adilson Dacosta, MD, MSC, PHD 3780 Holcomb Bridge Rd Ste C, Peachtree Corners, GA 30092-4877 Ph: (770) 263-9101 |