Individual
KYLE JAMES CASSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 CONGAREE RD, GREENVILLE, SC 29607-3519
(864) 248-4100
(864) 248-4105
Mailing address
PO BOX 604348, CHARLOTTE, NC 28260-4348
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
27520
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275204
—
SC
01
—
P00349204
RR MEDICARE
SC
01
—
P00797627
RR MEDICARE
SC
Enumeration date
05/18/2006
Last updated
03/02/2026
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