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Individual

JAMES J CASEY JR.

Active
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Individual

JAMES J CASEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA16
TN
363AS0400X
Surgical Physician Assistant
Primary
PA16
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407804891
VA
05
1514407
TN
01
4174924
BCBS
TN
Enumeration date
05/05/2006
Last updated
01/30/2017
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