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Contact Information

SAMARA ACOSTA
640 MAIN ST N
PEARSON, GA31642-7549
 Phone: 912-544-4569
 Fax: 229-468-9169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMARA ACOSTA · (Female)

NPI Number 1205553112
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2022
Last updated 10/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN259547
Hospital affiliation(s) Not Available
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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