| Doctor Name: | CARMEN NYDIA CASTRO-BYRD |
| NPI Number: | 1275934689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN9239238 |
| Business Practice Address: | 452 Copper Creek Cir Pooler, GA - 313224013 |
| Business Phone Number: | 9123155745 |
| Business Fax Number: | 9123154444 |
| Mailing Address: | 452 Copper Creek Cir, POOLER |
| State: | GA |
| Postal Code: | 313224013 |
| Phone Number: | 9123155745 |
| Fax Number: | 9123154444 |
| NPI Enumeration Date: | 09/05/2014 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | RN9239238 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |