Individual
MICHAEL JOHN KOSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2810 COBB LN SE, SMYRNA, GA 30082-2003
(678) 595-1036
(770) 436-1215
Mailing address
2810 COBB LN SE, SMYRNA, GA 30082-2003
(678) 595-1036
(770) 436-1215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001876
GA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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