Individual
DR. IGOR DE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 PINE ST STE 880, MACON, GA 31201-7525
(478) 743-7092
(478) 743-6293
Mailing address
840 PINE ST STE 880, MACON, GA 31201-7525
(478) 743-7092
(478) 743-6293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E5783
AR
207T00000X
Neurological Surgery Physician
Primary
79354
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2007
Last updated
01/13/2022
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