Individual
CASEY GAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 DENTAL CIRCLE BURNETT-WOMACK BUILDING CB# 7075, CHAPEL HILL, NC 27599-1009
(919) 966-5205
Mailing address
160 DENTAL CIRCLE BURNETT-WOMACK BUILDING CB# 7075, CHAPEL HILL, NC 27599-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-00754
NC
207R00000X
Internal Medicine Physician
R-10266
IA
208M00000X
Hospitalist Physician
2018-00754
NC
Other
Enumeration date
05/27/2015
Last updated
11/01/2019
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