Individual
DR. CARLOS A. FERNANDEZ ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
849 82ND PKWY, MYRTLE BEACH, SC 29572-4614
(843) 497-6348
(843) 497-6351
Mailing address
849 82ND PKWY, MYRTLE BEACH, SC 29572-4614
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
069805
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037336700
—
SC
Enumeration date
05/07/2007
Last updated
12/16/2016
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