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Bruce Costello

Rehabilitation Chiropractor

2365 Wall St Se Suite 100
Conyers , Georgia 30013-2197

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Image

Bruce Costello

Rehabilitation Chiropractor

2365 Wall St Se Suite 100
Conyers , Georgia 30013-2197

(404) 354-3111

Write a Review Save Call

Bruce Costello

Rehabilitation Chiropractor

2365 Wall St Se Suite 100
Conyers , Georgia 30013-2197

(404) 354-3111 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Chiropractor

Languages spoken

  • English

Location

2365 Wall St Se Suite 100 Conyers , Georgia 30013-2197

First Address

  • Bruce Costello
  • 455 Riverbend Dr
  • Mcdonough, GA
  • Zip : 30252-4110
  • Phone : (404) 354-3111

Second Address

  • Bruce Costello
  • 2365 Wall St Se Suite 100
  • Conyers, GA
  • Zip : 30013-2197
  • Fax : (770) 922-9107
  • Phone : (770) 922-8187

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FAQs


Where did Bruce Costello attend graduate school?

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Where did Bruce Costello do his residency?

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Where did Bruce Costello do his fellowship?

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Is Bruce Costello board certified?

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What type of doctor is Bruce Costello

Rehabilitation Chiropractor

In what state does Bruce Costello practice in?

Georgia

Where is Bruce Costello ’s practice located?

2365 Wall St Se Suite 100 , Conyers, Georgia, 30013-2197

What is Bruce Costello ’s gender?

Male

Is Bruce Costello a sole practitioner?

No

Is Bruce Costello accepting new patients?

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What languages does Bruce Costello speak?

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Does Bruce Costello accept insurance?

Yes, Bruce Costello accepts insurance

Does Bruce Costello offers telemedicine?

Bruce Costello has not indicated if he offers telemedicine

What is Bruce Costello ’s professional license number?

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What is Bruce Costello ’s NPI number?

1184974651

Does Bruce Costello have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NR0400X Rehabilitation Chiropractor CHIR002554 GA

National Provider Identifier

NPI 1184974651
Provider Name Bruce Costello
First Address Mcdonough, GA 30252-4110
Second Address Conyers, GA 30013-2197
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 12/09/2012
Last Update Date 12/09/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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