Individual
SUSAN LANEY CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
402 W PONCE DE LEON AVE, DECATUR, GA 30030-2443
(404) 377-9010
Mailing address
402 W PONCE DE LEON AVE STE 215, DECATUR, GA 30030-2443
(404) 377-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN155688
GA
363LF0000X
Family Nurse Practitioner
RN155688
GA
Other
Enumeration date
04/24/2009
Last updated
03/23/2023
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