Organization
SPECIALTY GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE CHRISTINE CASTAGNO MD (PHYSICIAN OWNER)
(352) 672-4666
Entity
Organization
Contact information
Practice address
2398 MOUNT VERNON RD, SUITE 150, DUNWOODY, GA 30338-3064
(770) 512-7099
(770) 512-7090
Mailing address
2398 MOUNT VERNON RD, SUITE 150, DUNWOODY, GA 30338-3064
(770) 512-7099
(770) 512-7090
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
031498
GA
207VG0400X
Gynecology Physician
Primary
044759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000772285B
—
GA
Enumeration date
11/29/2006
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us