Individual
SAMANTHA CASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(678) 480-4435
Mailing address
125 HARVEY AVE, COVINGTON, GA 30016-7773
(678) 480-4435
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
206070
GA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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