Individual
AUSTIN THOMAS COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-02835
NC
Other
Enumeration date
03/21/2017
Last updated
06/19/2020
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