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Organization
CASTLE MEDICAL
Active
Organization
CASTLE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE LEON CASTLEBERRY (OWNER)
(229) 732-6189
Entity
Organization
Contact information
Practice address
690 COLLEGE ST, CUTHBERT, GA 39840-5552
(229) 732-6189
(229) 732-6192
Mailing address
690 COLLEGE ST, POST OFFICE BOX 56, CUTHBERT, GA 39840-5552
(229) 732-6189
(229) 732-6192
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000745313A
—
GA
Enumeration date
04/12/2006
Last updated
09/22/2011
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