Individual
JOSE EMANUEL CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7000
Mailing address
6064 REYNOLDS CIR, GROVETOWN, GA 30813-1256
(706) 627-7160
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN190654
GA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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