Individual
DONALD JOSEPH COSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 E PARKER RD, SUITE 102, MORGANTON, NC 28655-5155
(828) 580-2700
(828) 432-9833
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260-1076
(828) 580-6752
(828) 580-6754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-095554
OH
208M00000X
Hospitalist Physician
Primary
35.095554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077147
—
OH
Enumeration date
01/30/2010
Last updated
06/11/2013
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