Individual
DR. WILLIAM G COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 454-3795
(478) 454-3969
Mailing address
3722 WALTON WAY EXT, APT. # 223, AUGUSTA, GA 30907-2436
(706) 642-0926
(478) 454-3969
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
061570
GA
207P00000X
Emergency Medicine Physician
193444-1
NY
207P00000X
Emergency Medicine Physician
MD25476
ME
Other
Enumeration date
09/09/2008
Last updated
06/22/2023
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