Individual
RICHARD BERRY CASWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 CARTHAGE ST, CENTRAL CAROLINA HOSPITAL, SANFORD, NC 27330-4162
(919) 777-7092
(919) 774-2399
Mailing address
PO BOX 120590, NEWPORT NEWS, VA 23612-0590
(757) 867-6101
(757) 867-6588
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200301340
NC
2085R0202X
Diagnostic Radiology Physician
224969
NY
2085R0202X
Diagnostic Radiology Physician
26482
SC
2085R0202X
Diagnostic Radiology Physician
MD071482L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135P1
BCBS
NC
05
—
89135P1
—
NC
01
—
P00395923
RAILROAD MEDICARE
NC
Enumeration date
07/27/2006
Last updated
10/18/2007
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