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Individual

DR. ANA MARIA CONCEPCION-CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11702 MERCY BLVD, STE. 2E, SAVANNAH, GA 31419-1750
(912) 925-8883
(912) 925-8689
Mailing address
11702 MERCY BLVD, STE. 2E, SAVANNAH, GA 31419-1750
(912) 925-8883
(912) 925-8689

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
047070
GA
207RI0200X
Infectious Disease Physician
047070
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000821609D
GA
01
44ZCBJH
MEDICARE PIN
GA
01
G95048
UPIN
GA
Enumeration date
12/08/2005
Last updated
10/19/2010
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