Basic Information
Provider Information
NPI: 1760754030
EntityType: 2
ReplacementNPI:  
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: 23 MAIN ST
Address2: SUITE 202
City: HILTON HEAD
State: SC
PostalCode: 299266606
CountryCode: US
TelephoneNumber: 9129276270
FaxNumber: 9129276254
Other Information
ProviderEnumerationDate: 02/02/2012
LastUpdateDate: 02/02/2012
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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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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