Individual
CASEY LEE PRENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 586-7428
(828) 586-7427
Mailing address
PO BOX 149, SYLVA, NC 28779-0149
(828) 339-9163
(828) 586-8209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200901153
NC
207R00000X
Internal Medicine Physician
57010017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01685425
RR MEDICARE
NC
Enumeration date
05/29/2007
Last updated
11/17/2016
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