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Individual

DR. CARLOS CASTILO TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(770) 503-0221
(770) 503-0023
Mailing address
3 WASHINGTON AVE, GAINESVILLE, GA 30501-4135
(770) 503-0221
(770) 503-0023

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
27927
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000304719H
GA
Enumeration date
02/13/2006
Last updated
06/17/2016
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