Individual
ETHAN HUNTER CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 SKYLYN DR, SPARTANBURG, SC 29307-1047
(864) 574-0017
Mailing address
204 HARMON CIR, WOODRUFF, SC 29388-9509
(864) 706-1693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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