Individual
GLORIA V CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 GA HIGHWAY 22 W, RIVER EDGE BEHAVIORAL HEALTH CENTER, MILLEDGEVILLE, GA 31061-6606
(478) 445-1290
Mailing address
175 EMERY HWY, RIVER EDGE BEHAVIORAL HEALTH CENTER, MACON, GA 31217-3692
(478) 445-1290
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024912
GA
Other
Enumeration date
08/13/2006
Last updated
01/17/2013
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