Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark John Costantino, MD

Individual provider Vascular Surgery Physician · NPI 1447247523

Dr. Mark John Costantino, MD is a Vascular Surgery Physician in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

195 King Ave
Athens, GA 30606-2963
Phone: (706) 549-8306
Fax: (706) 549-8351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 15361 (GA)

Record details

NPI number1447247523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESSeptember 28, 2011

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