Organization
COSTRINI & MEADOWS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M COSTRINI MD (PHYSICIAN)
(912) 927-6270
Entity
Organization
Contact information
Practice address
1006 MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-1221
(912) 538-0244
Mailing address
11700 MERCY BLVD, BLDG, #5, SAVANNAH, GA 31419-1753
(912) 927-6270
(912) 927-6254
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023410A
—
GA
Enumeration date
01/05/2012
Last updated
01/05/2012
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