Fernandez Acosta, Carlos A.

Fernandez Acosta, Carlos A. is an individual health care provider with primary practice located at 849 82Nd Pkwy , Myrtle Beach SC 29572-4614. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fernandez Acosta, Carlos A. can be contacted via phone (843) 497-6348.

Contact Information

Primary practice address
849 82Nd Pkwy Myrtle Beach SC 29572-4614
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 069805 Georgia

Profile Details

NPI number 1750594693
LBN Legal business name Fernandez Acosta, Carlos A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 16th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750594693 NPPES
South Carolina MEDICAID 037336700

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