Chad Donald Costley in Decatur - Family Medicine
Chad Donald Costley - NPI 1700832011
Chad Donald Costley is a Family Medicine in Decatur, Georgia. Chad Donald Costley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chad Donald Costley is 1700832011. The last update date is 2015-08-18.
Chad Donald Costley's current location address is 402 W Ponce De Leon Ave, Decatur, Georgia. You can contact this provider via phone number 4045372521 and fax number 6785154653. The mailing address for Chad Donald Costley is 402 W Ponce De Leon Ave, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Donald Costley |
|---|---|
| Address | 402 W Ponce De Leon Ave, Decatur, Georgia |
| Phone Number | 4045372521 |
| Fax Number | 6785154653 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700832011 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2015-08-18 |
Provider Mailing Address Detail
| Address | 402 W Ponce De Leon Ave |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300302443 |
| Phone Number | 4045372521 |
| Fax Number | 6785154653 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 54263 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Chad Donald Costley?
The Chad Donald Costley has been issued the NPI (National Provider Identifier) 1700832011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Chad Donald Costley is geographically located?
The Chad Donald Costley is physically situated at the following location: 402 W Ponce De Leon Ave, Decatur, GA, 300302443.
What is Chad Donald Costley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chad Donald Costley's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Chad Donald Costley receive its 1700832011 assignment from the Centers for Medicare & Medicaid Services?
The Chad Donald Costley was assigned its 1700832011 by the Centers for Medicare & Medicaid Services on 2006-05-26.
As of what date was the information pertaining to Chad Donald Costley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chad Donald Costley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-18.
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