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NPI Code Detail

MEDICARE: TANGINITA CASTEEL

MEDICARE:   TANGINITA  CASTEEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1376202754
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANGINITA CASTEEL
Provider Business Mailing Address
First Line : 3638 SURREY LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2748
Country : US
Telephone Number : 706-713-7529
Fax Number :
Provider Business Practice Location Address
First Line : 3638 SURREY LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2748
Country : US
Telephone Number : 706-713-7529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 12/13/2021

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Directions to “ TANGINITA CASTEEL ” Practice Location

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