Individual
DR. VIRGINIA FISHBURNE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2005-00906
NC
207XP3100X
Pediatric Orthopaedic Surgery Physician
2005-00906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1386627610
—
NC
05
—
N06005
—
SC
Enumeration date
11/21/2005
Last updated
08/31/2022
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