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NPI Code Detail

MEDICARE: COSTRINI & MEADOWS, PC

MEDICARE: COSTRINI & MEADOWS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144590233
Entity Type Code : Organization
Provider Name (Legal Business Name) : COSTRINI & MEADOWS, PC
Provider Business Mailing Address
First Line : 11700 MERCY BLVD
Second Line : BLDG, #5
City : SAVANNAH
State : GA
Zip : 31419-1753
Country : US
Telephone Number : 912-927-6270
Fax Number : 912-927-6254
Provider Business Practice Location Address
First Line : 1006 MOUNT VERNON RD
Second Line :
City : VIDALIA
State : GA
Zip : 30474-3029
Country : US
Telephone Number : 912-537-1221
Fax Number : 912-538-0244
Authorized Official
Title or Position : PHYSICIAN
Name : ANTHONY M COSTRINI
Credential : MD
Telephone Number : 912-927-6270
Provider Enumeration Date : 01/05/2012
Last Update Date : 01/05/2012

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Directions to “COSTRINI & MEADOWS, PC ” Practice Location

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