Individual
ANTONIO REYES DEL CASTILLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 PARCHMAN ROAD 12, PARCHMAN, MS 38738-3001
(662) 745-6611
Mailing address
1308 S FIFTH AVE, CLEVELAND, MS 38732-3609
(662) 545-6414
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
966-L
MS
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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