Individual
MRS. COURTNEY MARIE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
502 SIXTH BAXTER XING, FORT MILL, SC 29708-6596
(803) 396-8100
(803) 396-8040
Mailing address
PO BOX 741327, ATLANTA, GA 30384-1327
(803) 396-8100
(803) 396-8040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01690
KS
363A00000X
Physician Assistant
2432
OK
363A00000X
Physician Assistant
Primary
TL2715
SC
Other
Enumeration date
04/15/2014
Last updated
05/03/2017
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