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Individual
DR. MARLON DECASTRO
Active
Individual
DR. MARLON DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23181
SC
207R00000X
Internal Medicine Physician
Primary
C53594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-23181
DHEC
SC
01
—
23181
STATE LICENSE
SC
05
—
231813
—
SC
01
—
C53594
CA LICENSE
CA
Enumeration date
03/22/2006
Last updated
03/07/2023
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