Individual
DR. JAMES MITCHELL COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 CLEVELAND AVE, KINGS MOUNTAIN, NC 28086-3106
(704) 730-1228
(704) 730-1231
Mailing address
214 N. CLEVELAND AVE., KINGS MOUNTAIN, NC 28086-3106
(704) 730-1228
(704) 730-1231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9400760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841257540
—
NC
05
—
8924631
—
NC
Enumeration date
04/27/2006
Last updated
07/21/2022
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