NPI | 1174731970 |
---|---|
Former Legal Business Name | RONALD L CASEY MD PC |
Entity Type | Organization |
Authorized Contact | KELLY QUEEN Director Provider Enrollment 615-377-5658 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-05-18 |
Last Update Date | 2015-12-14 |