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Beth Scoggan Costolnick, PA-C
Medical Physician Assistant in Macon, Georgia
NPI 1740598648

Beth Scoggan Costolnick is a Medical Physician Assistant based in Macon, GA and is specialized in Medical. Beth Scoggan Costolnick practices in Macon, GA and has the professional credentials of PA-C. The NPI Number for Beth Scoggan Costolnick is 1740598648 and holds a License No. 1094738 (Georgia).

The current practice location address for Beth Scoggan Costolnick is 550 Professional Dr, Macon, GA and can be reached out via phone at 478-741-3007 and via fax at 478-755-1547.

Location: 550 Professional Dr, Macon, GA, 31201-1411
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Provider Profile Details
NPI Number
1740598648
Provider Name
Beth Scoggan Costolnick
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
550 Professional Dr, Macon, GA, 31201-1411
Phone Number
478-741-3007
Fax Number
478-755-1547
Provider Enumeration Date
09/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582409645 01 GA TAXPAYER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
550 Professional Dr
City
State
Zip
31201-1411
Phone Number
478-741-3007
Fax Number
478-755-1547
person
Provider Business Mailing Address Details
Address
550 Professional Dr
City
State
Zip
31201-1411
Phone Number
478-741-3007
Fax Number
478-755-1547
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1094738 (Georgia)
Definition
Definition to come...
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