Individual
CASEY OLIVER HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD STE B, GREENVILLE, SC 29605-4296
(864) 522-6225
(864) 522-6235
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(864) 242-5867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37101
SC
208D00000X
General Practice Physician
0101250468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371010
—
SC
Enumeration date
06/25/2009
Last updated
06/24/2021
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