Organization
JOSE R. CASTRO M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE RAMON CASTRO M.D. (PHYSICIAN)
(912) 632-8979
Entity
Organization
Contact information
Practice address
410 W 12TH ST, ALMA, GA 31510-2142
(912) 632-8979
(912) 632-8970
Mailing address
PO BOX 560, ALMA, GA 31510-0560
(912) 632-8979
(912) 632-8970
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
021385
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00195588C
—
GA
Enumeration date
11/09/2010
Last updated
11/09/2010
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