Individual
MR. CASEY R LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2142 W BROAD ST BLDG 100 STE 200, ATHENS, GA 30606-3509
(706) 548-6881
(706) 546-0821
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12440
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
03/05/2026
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