Individual
MR. JAMES CHRISTOPHER COSTABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18024 FOREST RD, FOREST, VA 24551-4853
(434) 214-0722
(434) 288-1211
Mailing address
18024 FOREST RD, FOREST, VA 24551-4853
(434) 214-0722
(434) 288-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011169
VA
363AM0700X
Medical Physician Assistant
C06816
MD
363AM0700X
Medical Physician Assistant
MA056078
PA
363AM0700X
Medical Physician Assistant
OA002808
PA
Other
Enumeration date
10/03/2011
Last updated
05/23/2026
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