Gregory Costa in Greenville - Physician Assistant

Gregory Costa - NPI 1790838399

Gregory Costa is a Physician Assistant in Greenville, South Carolina. Gregory Costa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Costa is 1790838399. The last update date is 2019-06-26.

Gregory Costa's current location address is 620 Halton Rd Apt 7101, Greenville, South Carolina. You can contact this provider via phone number 3234015141. The mailing address for Gregory Costa is 620 Halton Rd Apt 7101, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Costa
Address 620 Halton Rd Apt 7101, Greenville, South Carolina
Phone Number 3234015141
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1790838399
Provider Enumeration Date 2007-01-19
Last Updated Date 2019-06-26

Provider Mailing Address Detail

Address 620 Halton Rd Apt 7101
City Greenville
State South Carolina (SC)
Post Code 296073486
Phone Number 3234015141
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 16288
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25621530 CO --

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FAQs about Gregory Costa

What is the unique 10-digit identifier code issued to Gregory Costa by the Centers for Medicare & Medicaid Services?

The Gregory Costa has been assigned the NPI (National Provider Identifier) 1790838399 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Gregory Costa is physically located?

The Gregory Costa is situated at the following address: 620 Halton Rd Apt 7101, Greenville, SC 296073486.

What is Gregory Costa's area of expertise and its corresponding taxonomy classification?

The Gregory Costa's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

When did Gregory Costa receive its 1790838399 assignment?

The Gregory Costa was assigned its 1790838399 on 2007-01-19, which is the date when this unique identifier was issued to the organization.

When was the information related to Gregory Costa most recently updated or refreshed?

The details pertaining to the Gregory Costa, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-26.

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