Anastacia P Modo
NPI #1831692110 in Austell, Georgia
Provider Information
- NPI Number
- 1831692110
- Entity Type
- Individual
- Name
- Anastacia P Modo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 13, 2018
- Last Updated
- Dec 11, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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