Individual
MR. CASEY RICHARD GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1700 E ASH ST STE 201, GOLDSBORO, NC 27530-4097
(919) 736-6720
Mailing address
550 W NEW HOPE RD APT C8, GOLDSBORO, NC 27534-7561
(910) 273-4819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
87552
NC
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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