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Individual

JEFFERY L COSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(828) 681-2420
(828) 687-0729
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9701728
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01027138
MEDICARE RR
NC
Enumeration date
07/20/2006
Last updated
10/25/2016
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