Search › Georgia › 101YP2500X
Charles Costa, MAPC
NPI 1487988283 · on the registry since 2009
Practice
- Address
- 2085 S Milledge Ave Ste 1
Athens, GA 30605 - Phone
- (706) 206-3601
- Fax
- (706) 552-0756
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-01
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