SearchGeorgia363A00000X

Kendrick De Castro, PA-C

NPI 1235967050 · on the registry since 2024 · sole proprietor

Practice

Address
400 Tower Rd Ne Ste 200
Marietta, GA 30060
Phone
(770) 422-1372
Organisation at this address
Diagnostic Radiology Services
Pain Solutions Treatment Centers
Benchmark Healthcare Services Llc
Alliance Surgery Center At Marietta, Llc
Independent Physical Therapy Of Georgia, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 1664 Mulkey Rd, Austell, GA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia