BRUCE COSTELLO

CONYERS, GA
NPI1184974651
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X Chiropractor, Rehabilitation
(Licence: GA  CHIR002554)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- BRUCE COSTELLO DC
2365 WALL ST SE SUITE 100
CONYERS, GA 30013-2197
Phone number: 770-922-8187
Mailing Address
-- BRUCE COSTELLO DC
455 RIVERBEND DR
MCDONOUGH, GA 30252-4110
Phone number: 404-354-3111
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