Individual
GEORGINA POLANCO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8340 BANDFORD WAY STE 1, RALEIGH, NC 27615-2755
(919) 845-3332
Mailing address
8340 BANDFORD WAY, STE 1, RALEIGH, NC 27615-2755
(919) 845-3332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099326
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2020-0766
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD2015-0855
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05332044
—
NC
05
—
05332044
—
NM
Enumeration date
08/31/2011
Last updated
12/13/2021
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