Costello, Carmine

Costello, Carmine is an sole proprietor health care provider with primary practice located at 385 Hightower Trail , Jefferson GA 30549. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Costello, Carmine can be contacted via phone (770) 731-8257.

Contact Information

Primary practice address
385 Hightower Trail Jefferson GA 30549
Phone: (770) 731-8257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1073227054
LBN Legal business name Costello, Carmine
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2023
Last updated Dec 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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