Tan, Carlos Castilo
Tan, Carlos Castilo is an individual health care provider with primary practice located at 3 Washington Ave , Gainesville GA 30501-4135. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tan, Carlos Castilo can be contacted via phone (770) 503-0221.Contact Information
Primary practice address
3 Washington Ave
Gainesville GA 30501-4135
Phone: (770) 503-0221
Fax: (770) 503-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 27927 | Georgia |
Profile Details
| NPI number | 1215901855 |
|---|---|
| LBN Legal business name | Tan, Carlos Castilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215901855 | NPPES |
| Georgia | MEDICAID | 000304719H |
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