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Individual

DR. BLAIR NOEL COSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2022-01397
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
0101265591
VA

Other

Enumeration date
04/24/2017
Last updated
01/15/2025
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