BETH SCOGGAN COSTOLNICK

MACON, GA
NPI1740598648
Former NameBETH ANNE SCOGGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  1094738)
Enumeration Date2010-09-14
Last Update Date2012-03-27
Business Address
-- BETH SCOGGAN COSTOLNICK PA-C
550 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-741-3007
Mailing Address
-- BETH SCOGGAN COSTOLNICK PA-C
550 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-741-3007
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