Individual
SHARON KOSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
6394 ZEBULON RD STE 105, MACON, GA 31220-2691
(478) 757-9288
Mailing address
11900 US HIGHWAY 280, ELLABELL, GA 31308-3603
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000714
GA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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