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Kerryn Castellon, DO
Optician in Buford, Georgia
NPI 1255818993

Kerryn Castellon is a Optician based in Buford, GA and is specialized in Optician. Kerryn Castellon practices in Buford, GA and has the professional credentials of DO. The NPI Number for Kerryn Castellon is 1255818993 and holds a License No. (Georgia).

The current practice location address for Kerryn Castellon is 55 Sudderth St, Buford, GA and can be reached out via phone at 678-458-5095.

Location: 55 Sudderth St, Buford, GA, 30518-3335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255818993
Provider Name
Kerryn Castellon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
55 Sudderth St, Buford, GA, 30518-3335
Phone Number
678-458-5095
Fax Number
Provider Enumeration Date
07/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
824147685 05 GA
institution
Provider Business Practice Location Address Details
Address
55 Sudderth St
City
Buford
State
Georgia
Zip
30518-3335
Phone Number
678-458-5095
Fax Number
person
Provider Business Mailing Address Details
Address
55 Sudderth St
City
Buford
State
Georgia
Zip
30518-3335
Phone Number
678-458-5095
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
LDO002538 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Georgia)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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