Individual
MYCAL CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST # BI5070, AUGUSTA, GA 30912-0004
(706) 721-7939
Mailing address
1480 WRIGHTSBORO RD APT 1411, AUGUSTA, GA 30901-3209
(517) 974-6962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11879
GA
Other
Enumeration date
06/01/2020
Last updated
03/16/2022
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