Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2005-00906 | NC |
NPI | 1386627610 |
---|---|
Provider Name | Dr. Virginia Fishburne Casey |
First Address | Charlotte, NC 28209-3239 |
Second Address | Charlotte, NC 28207-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 10/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0397730007 | NSC # (01) | NC |
1386627610 | (05) | NC |
I33086 | (02) | NC |
N06005 | (05) | SC |