Individual
DR. TERENCE THOMAS CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115
(504) 897-8418
(504) 897-8762
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(318) 841-9526
(318) 841-9551
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
016061
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
17902
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
33861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009032
TLC TENNCARE
TN
05
—
009963710
—
AL
01
—
100031448
PHP TENNCARE
TN
01
—
10057953
AMERIGROUP MEDICAID GA
GA
01
—
119402
UNISON TENNCARE
TN
05
—
1901211
—
LA
05
—
3040731
—
TN
01
—
3090762
BLUE CROSS
TN
01
—
335761
WELLCARE MEDICAID GA
GA
05
—
5902737
—
NC
05
—
644219559A
—
GA
05
—
64720642
—
KY
Enumeration date
09/17/2006
Last updated
07/03/2018
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