Organization
SOUTH GEORGIA RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CASTLEBERRY AO (CEO)
(912) 764-2455
Entity
Organization
Contact information
Practice address
7505 WATERS AVE STE F10, SAVANNAH, GA 31406-3822
(706) 975-5993
(912) 304-5793
Mailing address
PO BOX 1067, STATESBORO, GA 30459-1067
(912) 764-2455
(912) 764-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
055937
GA
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
055937
GA
Other
Enumeration date
01/29/2008
Last updated
06/19/2024
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