Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRUCE COSTELLO, DC

Active Sole Proprietor

Rehabilitation (Chiropractor) · CONYERS, GA

Registration Details

NPI Number: 1184974651
Provider Type: Individual
Gender: Male
NPI Issued: Sep 12, 2012 (13.607724328647 yrs)
Last Updated: Sep 12, 2012
License: CHIR002554 (GA)
Sole Proprietor: Yes

Practice Information

Address: 2365 WALL ST SE

SUITE 100

CONYERS, GA, 300132197
Browse GA providers · Browse ZIP 30013
Phone: 7709228187
Fax: 7709229107
Primary Specialty: Rehabilitation (Chiropractor)
111NR0400X

Other Rehabilitation (Chiropractor) Providers in CONYERS, GA

Name	Credential	NPI
DR. THOMAS MICHAEL SERRA	D.C.	1568528651
GUSTAVO ANDRE PEREZ CABALLERO	BS, DC, GTS	1902572118

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.