NPI 1194128165

Bettye Boggs-Costic, LPN

Practitioner Licensed Practical Nurse Brunswick, GA

Practice location

Address: 2747 4th St, Brunswick, GA 31520-3714
Phone: (912) 264-3961
Fax: (912) 265-8837

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN019053 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1194128165
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2014
Record last updated: 3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.