Individual
CASEY L ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(888) 999-1212
Mailing address
525 MONTGOMERY ST, ALEXANDRIA, VA 22314-1659
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101276258
VA
208D00000X
General Practice Physician
0101276258
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2018
Last updated
06/09/2025
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