Individual provider · Type 1 NPI

Samantha Castillo Wilson, PA-C

Medical Physician Assistant · Gainesville, GA

NPI number 1992282024 Active

Practice location

1292 Athens St
Gainesville, GA 30507-7000

Call (770) 219-9400 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 2350 Limestone Pkwy, Gainesville, GA 30501-2013 · (470) 208-3837

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8856 (GA)
Physician Assistant 363A00000X8856 (GA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Gainesville

See all in Gainesville →

About NPI 1992282024

Samantha Castillo Wilson, PA-C's National Provider Identifier is 1992282024, issued on Jul 21, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Jul 29, 2021.