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NPI Code Detail

MEDICARE: SHARON CASTELLINO MD, MSC

MEDICARE:   SHARON  CASTELLINO  MD, MSC
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
12080P0207XPediatric Hematology & Oncology Physician74673GA

General Provider Information

NPI Number : 1063496792
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON CASTELLINO MD, MSC
Provider Business Mailing Address
First Line : 5461 MERIDIAN MARK RD STE 400
Second Line :
City : ATLANTA
State : GA
Zip : 30342-3283
Country : US
Telephone Number : 404-785-1112
Fax Number : 404-785-3600
Provider Business Practice Location Address
First Line : 5461 MERIDIAN MARK RD STE 400
Second Line :
City : ATLANTA
State : GA
Zip : 30342-3283
Country : US
Telephone Number : 404-785-1112
Fax Number : 404-785-3600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 06/06/2022

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Directions to “ SHARON CASTELLINO MD, MSC” Practice Location

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