Provider Demographics
NPI:1659643955
Name:COSTRINI & MEADOWS PC
Entity Type:Organization
Organization Name:COSTRINI & MEADOWS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COSTRINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-927-6270
Mailing Address - Street 1:11700 MERCY BLVD
Mailing Address - Street 2:BLDG #5
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1753
Mailing Address - Country:US
Mailing Address - Phone:912-927-6270
Mailing Address - Fax:912-927-6254
Practice Address - Street 1:1111 GLYNCO PKWY
Practice Address - Street 2:SUITE 410
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-7921
Practice Address - Country:US
Practice Address - Phone:912-927-6270
Practice Address - Fax:912-927-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty