Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 9800209 | NC |
NPI | 1003894056 |
---|---|
Provider Name | Dr. Michael Joseph Casey |
First Address | Raleigh, NC 27610-2989 |
Second Address | Raleigh, NC 27609-7511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34073 | (02) | NC |