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Individual

ARMANDO R CASTILLO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 533-6645
(770) 535-7445
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54989
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
054989
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
R6358
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01208122
AMERIGROUP
GA
01
1972540060
UNITED HEALTHCARE
GA
05
247262164F
GA
01
374271
CIGNA
GA
05
385001801
TX
01
4519014
AETNA
GA
01
459338
WELLCARE
GA
01
52703314
BCBS
GA
Enumeration date
05/31/2006
Last updated
02/27/2019
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