Search › Georgia › 363LF0000X
Erin Costanzo, APRN FNPC
NPI 1649244997 · on the registry since 2006
Practice
- Address
- 7869 Villa Rica Hwy
Dallas, GA 30157 - Phone
- (770) 459-4411
- Fax
- (770) 459-2424
- Organisation at this address
- Lifetime Family Medicine,Llc
Primary Care Group Of West GeorgiaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-19
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