Individual
DR. JACK CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
1217 GLENWOOD DR, AUGUSTA, GA 30904-3340
(423) 557-5582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17991
GA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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