Individual
DAVID LOUIS CASTELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 W 4TH NORTH ST, SUMMERVILLE, SC 29483-6541
(843) 873-0681
(843) 873-2749
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080090612
RR MEDICARE
SC
05
—
115672
—
SC
Enumeration date
04/28/2006
Last updated
07/06/2021
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