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1417705450
KYLE NICHOLAS CASTLEBERRY
JESUP, GA
NPI
1417705450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 12292)
Enumeration Date
2024-05-06
Last Update Date
2024-05-13
Business Address
KYLE NICHOLAS CASTLEBERRY PA-C
865 S 1ST ST
JESUP, GA 31545-0210
Phone number: 912-427-6811
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Mailing Address
KYLE NICHOLAS CASTLEBERRY PA-C
1350 ZEPHYR CT
CUMMING, GA 30041-8094
Phone number: 770-342-9609
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