Acosta, Jerry L

Acosta, Jerry L is an individual health care provider with primary practice located at 317 Saint Francis Dr Suite 120, Greenville SC 29601-3965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Acosta, Jerry L can be contacted via phone (264) 255-1317.

Contact Information

Primary practice address
317 Saint Francis Dr Suite 120 Greenville SC 29601-3965
Phone: (264) 255-1317
Fax: (864) 255-1318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 7641 South Carolina

Profile Details

NPI number 1912965591
LBN Legal business name Acosta, Jerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912965591 NPPES
South Carolina MEDICAID GP3950

Popular Providers