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Dr. Mark John Costantino, MD
Vascular Surgery Physician in Athens, Georgia
NPI 1447247523

Mark John Costantino is a Vascular Surgery Physician based in Athens, GA and is specialized in Vascular Surgery. Mark John Costantino practices in Athens, GA and has the professional credentials of MD. The NPI Number for Mark John Costantino is 1447247523 and holds a License No. 15361 (Georgia).

The current practice location address for Mark John Costantino is 195 King Ave, Athens, GA and can be reached out via phone at 706-549-8306 and via fax at 706-549-8351.

Location: 195 King Ave, Athens, GA, 30606-2963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447247523
Provider Name
Mark John Costantino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
195 King Ave, Athens, GA, 30606-2963
Phone Number
706-549-8306
Fax Number
706-549-8351
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
195 King Ave
City
Athens
State
Georgia
Zip
30606-2963
Phone Number
706-549-8306
Fax Number
706-549-8351
person
Provider Business Mailing Address Details
Address
195 King Ave
City
Athens
State
Georgia
Zip
30606-2963
Phone Number
706-549-8306
Fax Number
706-549-8351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
15361 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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