Provider Demographics
NPI:1689218034
Name:CASTLEBERRY, ALLISON MORGAN (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MORGAN
Last Name:CASTLEBERRY
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2948 SURREY LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4730
Mailing Address - Country:US
Mailing Address - Phone:678-294-6362
Mailing Address - Fax:
Practice Address - Street 1:1100 JOHNSON FY RD NE STE 410
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1709
Practice Address - Country:US
Practice Address - Phone:404-847-0664
Practice Address - Fax:404-250-1694
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2024-02-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant