Individual
CASEY AMANDA TAYLOR-RACINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVENUE, SUITE 1D03, FORT STEWART, GA 31314-5674
(912) 435-5476
Mailing address
1061 HARMON AVENUE, SUITE 1D03, FORT STEWART, GA 31314-5674
(912) 435-5476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1144
NV
Other
Enumeration date
06/17/2009
Last updated
01/25/2011
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