Organization
EMORY MEDICAL AFFILIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY ANN CASTELLANO MD (PRESIDENT)
(404) 778-5232
Entity
Organization
Contact information
Practice address
1845 SATELLITE BLVD, SUITE 100, DULUTH, GA 30097-4061
(404) 778-5220
(770) 995-8455
Mailing address
101 W PONCE DE LEON AVE, SUITE 420, DECATUR, GA 30030-2533
(404) 778-7525
(404) 778-7823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002000727
GA
Other
Enumeration date
06/02/2006
Last updated
12/20/2007
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