Individual
DAVID BRENDAN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
1700 TREE LN STE 100, SNELLVILLE, GA 30078-6749
(770) 736-6300
(678) 639-3958
Mailing address
1700 TREE LN STE 190, SNELLVILLE, GA 30078-6766
(770) 736-6300
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
080884
GA
208D00000X
General Practice Physician
MD.205849
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150049
—
LA
Enumeration date
03/26/2011
Last updated
01/25/2019
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