Organization
MARIA C CASTELLANO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CARMELA CASTELLANO MD (OWNER)
(912) 490-0149
Entity
Organization
Contact information
Practice address
2418 N OAK ST, SUITE J, VALDOSTA, GA 31602-2576
(912) 490-0149
Mailing address
2418 N OAK ST, SUITE J, VALDOSTA, GA 31602-2576
(912) 490-0149
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
045419
GA
Other
Enumeration date
05/03/2010
Last updated
01/06/2012
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