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Individual

LEIGH ANN CASTLEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 536-8109
(678) 997-2141
Mailing address
PO BOX 907790, GAINESVILLE, GA 30501-0912
(770) 536-8109
(678) 997-2141

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R140985
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000819926C
GA
05
000819926D
GA
01
202I436677
MEDICARE
GA
Enumeration date
07/25/2006
Last updated
04/02/2019
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