Chateau Foot and Ankle Center, LLC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Braselton, GA

NPI 1134568124 · NPPES record last updated Jan 20, 2015

Key facts

NPI
1134568124
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
POD000569 (GA)
Legal business name
CHATEAU FOOT AND ANKLE CENTER, LLC
Practice address
1515 River PL
Suite 140
Braselton, GA 30517-5602
Phone
(770) 648-5040
NPI assigned
Jun 23, 2013
Organization subpart
No

Authorized official

Name
Dr. Bradley David Castellano, D.P.M.
Title
Podiatrist-Owner
Phone
(770) 648-5040

National Provider Directory

Locations

1515 River Pl
Ste 140
Braselton, GA 30517
Phone (678) 987-1480

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X POD000569 GA Yes

Addresses

Primary practice location

1515 River PL
Suite 140
Braselton, GA 30517-5602

Mailing address

1515 River PL
Suite 140
Braselton, GA 30517-5602
Phone (770) 648-5040

Other providers in Braselton, GA

All providers in Braselton, GA · Foot & Ankle Surgery Podiatrist in Georgia

Sources for this page

Verify at the official NPI Registry.