Individual
CASEY ANNA WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
435 N CEDAR ST, SUMMERVILLE, SC 29483-6407
(843) 476-4702
(843) 476-4290
Mailing address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4720
(843) 476-4290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1201406
SC
363AM0700X
Medical Physician Assistant
Primary
1201406
SC
Other
Enumeration date
01/24/2024
Last updated
04/02/2026
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