Individual
MS. CASEY JANE HENRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
705 TOWN BLVD NE, SUITE 590, BROOKHAVEN, GA 30319-3011
(404) 855-2236
(404) 793-6517
Mailing address
705 TOWN BLVD NE, SUITE 590, BROOKHAVEN, GA 30319-3011
(404) 855-2236
(404) 793-6517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
011220
AZ
207Q00000X
Family Medicine Physician
068027
GA
207Q00000X
Family Medicine Physician
2012-01724
NC
207Q00000X
Family Medicine Physician
Primary
68027
GA
207Q00000X
Family Medicine Physician
DR.0073333
CO
207Q00000X
Family Medicine Physician
OP61567746
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710113568
—
NC
Enumeration date
06/08/2009
Last updated
08/05/2024
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