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George Costanzo, M.D
NPI 1427030634 · on the registry since 2005 · sole proprietor
Practice
- Address
- 347th Medical Group
3278 Mitchell Blvd
Moody A F B, GA 31699 - Phone
- (229) 257-3755
- Fax
- (229) 257-4672
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia