Individual
GEORGE COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
Mailing address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-050956
IL
2084P0800X
Psychiatry Physician
125-050956
IL
2084P0800X
Psychiatry Physician
Primary
24360
WV
Other
Enumeration date
05/02/2007
Last updated
01/27/2014
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