Individual provider · Type 1 NPI

Beth Scoggan Costolnick, PA-C

Medical Physician Assistant · Macon, GA

NPI number 1740598648 Active

Practice location

550 Professional Dr
Macon, GA 31201-1411

Fax (478) 755-1547

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1094738 (GA)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1740598648

Beth Scoggan Costolnick, PA-C's National Provider Identifier is 1740598648, issued on Sep 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Macon, GA. The record was last updated on Mar 27, 2012.