Individual
GISSELLE DALILA CASTELLANOS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 W MAIN ST, GREENVILLE, SC 29611-4215
(864) 522-5300
(864) 241-9211
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
83147
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831480
—
SC
Enumeration date
01/18/2013
Last updated
05/24/2021
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