Individual
DR. CHAD DONALD COSTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030-2441
(404) 371-9673
(844) 246-7292
Mailing address
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030-2441
(404) 537-2521
(678) 515-4653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054263
GA
Other
Enumeration date
05/26/2006
Last updated
01/18/2024
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