Nicholas Kostromin
Nicholas Kostromin is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2026.
- Licensed in
- GA
- In the registry since
- 2026
Practice location Address checks out
1500 Oglethorpe Ave Ste 200CAthens, GA 30606-2165
Phone: (706) 389-3875
Fax: (706) 389-3876
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (GA) |
|---|
Record details
| NPI number | 1275474637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2026 |
| Last updated in NPPES | April 1, 2026 |
| Certification date | April 1, 2026 |
| Mailing address | 1230 Baxter St, Athens, GA 30606-3791 |
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