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Organization
PALMETTO ASSISTED LIVING MEDICAL GROUP PC
Active
Organization
PALMETTO ASSISTED LIVING MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CASTOR MD (PRESIDENT)
(717) 994-1711
Entity
Organization
Contact information
Practice address
25 CHINA COCKLE WAY, HILTON HEAD, SC 29926-1907
(717) 994-1711
Mailing address
PO BOX 2029, BRYSON CITY, NC 28713-5029
(828) 735-2822
(828) 538-4549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917260
—
NC
Enumeration date
06/27/2022
Last updated
11/30/2023
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