Individual
MR. CASEY D. BOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 N CENTER ST, STE 201, HICKORY, NC 28601-5036
(828) 327-8105
(828) 327-4245
Mailing address
415 N CENTER ST, STE 201, HICKORY, NC 28601-5036
(828) 327-8105
(828) 327-4245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
165268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052048
—
NC
Enumeration date
01/23/2006
Last updated
07/08/2007
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