Individual
KARYSSA COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 COUNTRY CLUB DR STE A, STOCKBRIDGE, GA 30281-9084
(770) 692-4000
Mailing address
350 COUNTRY CLUB DR STE A, STOCKBRIDGE, GA 30281-9084
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
UNKNOWN
GA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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