Costley, Chad Donald

Costley, Chad Donald is an sole proprietor health care provider with primary practice located at 315 W Ponce De Leon Ave Ste 110 , Decatur GA 30030-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Costley, Chad Donald can be contacted via phone (404) 371-9673.

Contact Information

Primary practice address
315 W Ponce De Leon Ave Ste 110 Decatur GA 30030-2441
Phone: (404) 371-9673
Fax: (844) 246-7292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 054263 Georgia

Profile Details

NPI number 1700832011
LBN Legal business name Costley, Chad Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jan 18th, 2024 - about 2 years ago

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.

Request for update

Popular Providers