Individual
DR. BRIAN JUDE COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CHURCH ST, NASHVILLE, TN 37236-0001
(615) 284-5555
Mailing address
5767 MAUDINA AVE, NASHVILLE, TN 37209-3109
(615) 347-9217
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD0000042906
TN
Other
Enumeration date
03/29/2007
Last updated
05/21/2010
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