Organization
MB COSTELLO ENTERPRISES LLC
Active
Other names
PCA Pain Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE COSTELLO DC (FRANCHISEE)
(404) 354-3111
Entity
Organization
Contact information
Practice address
1501 LAKELAND DR STE 251, JACKSON, MS 39216-4848
(601) 321-8000
(601) 321-8001
Mailing address
1501 LAKELAND DR, SUITE 251, JACKSON, MS 39216-4834
(601) 320-8000
(601) 320-8001
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/13/2011
Last updated
09/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us