Individual
JUSTIN CHANDLER CASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
3455 N DRUID HILLS RD APT P, DECATUR, GA 30033-3748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN283498
GA
363L00000X
Nurse Practitioner
Primary
RN283498
GA
Other
Enumeration date
01/31/2022
Last updated
11/06/2022
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