| Doctor Name: | DR. RESORA P. ACOBA |
| NPI Number: | 1194827592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 000044 |
| Business Practice Address: | 400 S Pinetree Blvd. Patient Billing Dept Thomasville, GA - 317927128 |
| Business Phone Number: | 2292272977 |
| Business Fax Number: | 2292272955 |
| Mailing Address: | Po Box 1378, Sw - Patient Billing THOMASVILLE |
| State: | GA |
| Postal Code: | 317991378 |
| Phone Number: | 2292272977 |
| Fax Number: | 2292272955 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 000044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |