# MARIA C CASTELLANO, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568789329
- **Authorized official:** MARIA CARMELA CASTELLANO MD (OWNER)
- **Authorized official phone:** (912) 490-0149

## Contact information

- **Practice address:** 2418 N OAK ST, SUITE J, VALDOSTA, GA 31602-2576
- **Practice address phone:** (912) 490-0149
- **Mailing address:** 2418 N OAK ST, SUITE J, VALDOSTA, GA 31602-2576
- **Mailing address phone:** (912) 490-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 045419 | GA | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 01/06/2012