Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beth Scoggan Costolnick, PA-C

Individual provider Medical Physician Assistant · NPI 1740598648

Beth Scoggan Costolnick, PA-C is a Medical Physician Assistant in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

550 Professional Dr
Macon, GA 31201-1411
Phone: (478) 741-3007
Fax: (478) 755-1547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1094738 (GA)

Record details

NPI number1740598648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2010
Last updated in NPPESMarch 27, 2012

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