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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