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Contact Information

CARLOS A FERNANDEZ ACOSTA, MD
849 82ND PKWY
MYRTLE BEACH, SC29572-4614
 Phone: 843-497-6348
 Fax: 843-497-6351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CARLOS A FERNANDEZ ACOSTA · (Male)

NPI Number 1750594693
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2007
Last updated 12/16/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 069805
  • SC Medicaid 037336700
Hospital affiliation(s)
  • ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER - (Acute Care)
    7500 MERCY RD
    OMAHA, NE 68124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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