Individual
COLEY CASSIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E WENDOVER AVE, SUITE 215, GREENSBORO, NC 27401-1230
(336) 379-1156
(336) 370-0442
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 379-1156
(336) 370-0442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21592
BCBS OF NC
NC
01
—
21929
MEDCOST
NC
01
—
880
PARTNERS MEDICARE
NC
05
—
8921592
—
NC
Enumeration date
11/07/2006
Last updated
02/20/2008
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