National Provider Identifier Database

SAMARA ACOSTA
Family


Contact Information

SAMARA ACOSTA
640 MAIN ST N
PEARSON, GA31642-7549
Phone: 912-544-4569
Fax: 229-468-9169
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for SAMARA ACOSTA

NPI Number 1205553112
Credentials
Entity Individual
Enumeration date 10/21/2022
Last updated 10/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • GA License #: RN259547
Hospital affiliation n/a

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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