Individual
CASEY GAYLE EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6078 CASTLE HEIGHTS RD, MORRIS, AL 35116-2301
(614) 530-4195
Mailing address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12461
NC
363A00000X
Physician Assistant
4415
SC
Other
Enumeration date
05/19/2022
Last updated
10/06/2022
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