Organization
CHATEAU FOOT AND ANKLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DAVID CASTELLANO D.P.M. (PODIATRIST-OWNER)
(770) 648-5040
Entity
Organization
Contact information
Practice address
1515 RIVER PL, SUITE 140, BRASELTON, GA 30517-5602
(770) 648-5040
Mailing address
1515 RIVER PL, SUITE 140, BRASELTON, GA 30517-5602
(770) 648-5040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000569
GA
Other
Enumeration date
06/23/2013
Last updated
01/20/2015
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