DR. George P. Costanzo, M.D.

NPI #1427030634 in Moody a F B, Georgia

Provider Information

NPI Number
1427030634
Entity Type
Individual
Name
DR. George P. Costanzo, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery
Credential
M.D.
Enumeration Date
Nov 15, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
347TH MEDICAL GROUP
Address 2
3278 MITCHELL BLVD
State
Georgia
ZIP Code
31699-0001
Phone
(229) 257-3755

Specialties & Taxonomy Codes

Specialty
Surgery

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