Individual
JOE BLAIR CASTLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR, STE. 410, COLUMBIA, SC 29203-6877
(803) 799-9044
(803) 256-8119
Mailing address
14 RICHLAND MEDICAL PARK DR, STE. 410, COLUMBIA, SC 29203-6877
(803) 799-9044
(803) 256-8119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225349
—
SC
Enumeration date
09/14/2006
Last updated
01/12/2011
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