Individual
DR. JOSE RAMON CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 VAN STREAT HWY, NICHOLLS, GA 31554-5025
(912) 345-8979
(912) 345-8970
Mailing address
PO BOX 560, ALMA, GA 31510-0560
(912) 345-8979
(912) 345-8970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021385
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00195588C
—
GA
01
—
08BDGPR
PIN
—
Enumeration date
09/21/2006
Last updated
10/03/2013
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