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Individual

MR. SAMUEL W CASTLEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S.

Contact information

Practice address
1650 W. BROAD ST., ATHENS, GA 30606
(706) 548-5245
(706) 548-6533
Mailing address
1650 W. BROAD ST., ATHENS, GA 30606
(706) 768-0181
(706) 548-6533

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS001076
GA

Other

Enumeration date
06/08/2023
Last updated
06/12/2023
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