person
Dr. Carlos Castilo Tan, MD
General Practice Physician in Gainesville, Georgia
NPI 1215901855

Carlos Castilo Tan is a General Practice Physician based in Gainesville, GA. Carlos Castilo Tan practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Carlos Castilo Tan is 1215901855 and holds a License No. 27927 (Georgia).

The current practice location address for Carlos Castilo Tan is 3 Washington Ave, Gainesville, GA and can be reached out via phone at 770-503-0221 and via fax at 770-503-0023.

Location: 3 Washington Ave, Gainesville, GA, 30501-4135
person
Provider Profile Details
NPI Number
1215901855
Provider Name
Carlos Castilo Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3 Washington Ave, Gainesville, GA, 30501-4135
Phone Number
770-503-0221
Fax Number
770-503-0023
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000304719H 05 GA
institution
Provider Business Practice Location Address Details
Address
3 Washington Ave
City
State
Zip
30501-4135
Phone Number
770-503-0221
Fax Number
770-503-0023
person
Provider Business Mailing Address Details
Address
3 Washington Ave
City
State
Zip
30501-4135
Phone Number
770-503-0221
Fax Number
770-503-0023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
27927 (Georgia)
Definition
Definition to come...
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