Dr Mark John Costantino, MD | |
195 King Ave, Athens, GA 30606-2963 | |
(706) 549-8306 | |
(706) 549-8351 |
Full Name | Dr Mark John Costantino |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 195 King Ave, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447247523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086S0129X | Surgery - Vascular Surgery | 15361 (Georgia) | Primary |
Entity Name | University Surgical Associates Of Athens |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861500183 PECOS PAC ID: 2668463290 Enrollment ID: O20040521000292 |
Mailing Address | Practice Location Address |
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Dr Mark John Costantino, MD 195 King Ave, Athens, GA 30606-2963 Ph: (706) 549-8306 | Dr Mark John Costantino, MD 195 King Ave, Athens, GA 30606-2963 Ph: (706) 549-8306 |
Dr. Thomas H Hawk Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Prince Ave, Building 8a, Athens, GA 30606 Phone: 706-353-1630 Fax: 706-543-6825 | |
Ashlee R Kimbrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 Prince Ave Ste 100, Athens, GA 30606 Phone: 706-425-1420 | |
Colby Canada, PA Surgery Medicare: Medicare Enrolled Practice Location: 1010 Prince Ave Ste 400, Athens, GA 30606 Phone: 706-425-1400 | |
Dr. Mohammed Hisham Obeidin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 Prince Ave Ste 400, Athens, GA 30606 Phone: 706-425-1400 Fax: 706-548-0184 | |
Mrs. Laura Ashley Ray, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 658 N. Chase Street, Ste 201, Athens, GA 30607 Phone: 706-353-2990 Fax: 706-353-2992 | |
Ryan M Katz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 2000, Athens, GA 30606 Phone: 706-548-5488 Fax: 706-548-0016 | |
Cara Hudson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 242 King Ave, Ste 130, Athens, GA 30606 Phone: 706-475-7110 |