Individual
DR. GORDON MICHAEL CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 HIGHWAY 182 W STE B, STARKVILLE, MS 39759-9820
(662) 324-1097
(662) 324-2412
Mailing address
1207 HIGHWAY 182 W, STE B, STARKVILLE, MS 39759-9013
(662) 324-1097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17324
MS
208800000X
Urology Physician
Primary
17324
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07481088
—
MS
Enumeration date
07/13/2005
Last updated
08/12/2020
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