SAMARA ACOSTA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1205553112- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 640 MAIN ST N, PEARSON, GA, 316427549
- Phone
- (912) 544-4569
- Fax
- (229) 468-9169
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: GA #RN259547
All Addresses
MAILING
1146 OQUINN DR
TIFTON, GA, 317943729