Basic Information
| Provider Information | |||||||||
| NPI: | 1134492531 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COSTRINI & MEADOWS, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11700 MERCY BLVD | ||||||||
| Address2: | BLDG #5 | ||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314191753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9129276270 | ||||||||
| FaxNumber: | 9129276254 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 MEADOWS PKWY | ||||||||
| Address2: | |||||||||
| City: | VIDALIA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 304748759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9129276270 | ||||||||
| FaxNumber: | 9129276254 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2012 | ||||||||
| LastUpdateDate: | 02/15/2012 | ||||||||
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| AuthorizedOfficialLastName: | COSTRINI | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9129276270 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.