Individual
DR. MILTON S COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 FOLLY RD STE 102A, CHARLESTON, SC 29412-2507
(843) 762-1440
(843) 762-6979
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11841
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118410
—
SC
01
—
P00727234
RAILROAD MEDICARE ID- RSFPP
SC
Enumeration date
11/20/2006
Last updated
10/30/2020
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