Individual
CASEY MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(256) 469-4138
Mailing address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(256) 469-4138
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
176769
AL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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