ERIN R COSTANZO

DALLAS, GA
NPI1649244997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN146776NP)
Enumeration Date2006-02-14
Last Update Date2010-01-19
Business Address
Mrs. ERIN R COSTANZO APRN FNPC
7869 VILLA RICA HWY
DALLAS, GA 30157
Phone number: 770-459-4411
Mailing Address
Mrs. ERIN R COSTANZO APRN FNPC
PO BOX 608
VILLA RICA, GA 30180
Phone number: 770-459-4411