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Organization
CHATEAU FOOT AND ANKLE CENTER, LLC
Active
Organization
CHATEAU FOOT AND ANKLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DAVID CASTELLANO D.P.M. (PODIATRIST-OWNER)
(770) 648-5040
Entity
Organization
Contact information
Practice address
1515 RIVER PL, SUITE 140, BRASELTON, GA 30517-5602
(770) 648-5040
Mailing address
1515 RIVER PL, SUITE 140, BRASELTON, GA 30517-5602
(770) 648-5040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000569
GA
Other
Enumeration date
06/23/2013
Last updated
01/20/2015
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