Polanco Castillo, Georgina

Polanco Castillo, Georgina is an individual health care provider with primary practice located at 8340 Bandford Way Ste 1 , Raleigh NC 27615-2755. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Polanco Castillo, Georgina can be contacted via phone (919) 845-3332.

Contact Information

Primary practice address
8340 Bandford Way Ste 1 Raleigh NC 27615-2755
Phone: (919) 845-3332
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD2015-0855 New Mexico
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2020-0766 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301099326 Michigan

Profile Details

NPI number 1578844775
LBN Legal business name Polanco Castillo, Georgina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Dec 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578844775 NPPES
New Mexico MEDICAID 05332044
New Mexico MEDICAID 05332044

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