Individual
VANESSA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E WEST CONNECTOR STE 106, AUSTELL, GA 30106-6854
(770) 941-0010
Mailing address
2615 E WEST CONNECTOR STE 106, AUSTELL, GA 30106-6854
(770) 941-0010
(770) 941-0145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12029
GA
Other
Enumeration date
06/24/2022
Last updated
01/03/2024
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