Individual
JAMES J CASEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
Mailing address
310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
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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