ISMAEL S OSTA

BRUNSWICK, GA
NPI1093782856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003966)
Enumeration Date2006-03-01
Last Update Date2012-12-11
Business Address
Mr. ISMAEL S OSTA PA C
3226 HAMPTON AVE SUITE G
BRUNSWICK, GA 31520-4225
Phone number: 912-265-1212
Mailing Address
Mr. ISMAEL S OSTA PA C
3226 HAMPTON AVE SUITE G
BRUNSWICK, GA 31520
Phone number: 912-265-1212
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