Search › Georgia › 363L00000X
Phyllis Costello, MSN
NPI 1487081261 · on the registry since 2013
Practice
- Address
- 3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909 - Phone
- (706) 504-9712
- Fax
- (706) 504-9703
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-09
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