Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 37723 | AL |
NPI | 1649471012 |
---|---|
Provider Name | Carey Joseph Nease |
First Address | Calhoun, GA 30701-7030 |
Second Address | Fort Payne, AL 35968-3421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 05/03/2019 |