Individual
MARIA C CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2418 N OAK ST, SUITE G, VALDOSTA, GA 31602-2576
(229) 588-4688
(229) 588-4468
Mailing address
2418 N OAK ST, SUITE G, VALDOSTA, GA 31602-2576
(229) 588-4688
(229) 588-4468
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
045419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674370634A
—
GA
Enumeration date
08/18/2006
Last updated
02/03/2011
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