Individual
FERNANDO XAVIER CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR, SUITE 550, WEST COLUMBIA, SC 29169
(803) 936-7410
(803) 936-7412
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005020365
MO
207RR0500X
Rheumatology Physician
2010-01637
NC
207RR0500X
Rheumatology Physician
Primary
36364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518063718
NPI
—
Enumeration date
09/15/2006
Last updated
10/15/2020
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