Individual
ANDREA VICTORIA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 HOSPITAL BLVD STE 250, ROSWELL, GA 30076-4990
(770) 442-1111
(770) 740-2990
Mailing address
2436 HAMPTON PARK DR, BUFORD, GA 30519-2230
(404) 775-0533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9850
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/26/2020
Last updated
02/10/2021
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