Casey, David Brendan

Casey, David Brendan is an individual health care provider with primary practice located at 1700 Tree Ln Ste 100 , Snellville GA 30078-6749. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Casey, David Brendan can be contacted via phone (770) 736-6300.

Contact Information

Primary practice address
1700 Tree Ln Ste 100 Snellville GA 30078-6749
Phone: (770) 736-6300
Fax: (678) 639-3958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD.205849 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 080884 Georgia

Profile Details

NPI number 1447559604
LBN Legal business name Casey, David Brendan
Credentials MD/PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2011
Last updated Jan 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447559604 NPPES
Louisiana MEDICAID 2150049

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