Graybeal, Casey J
Graybeal, Casey J is an individual health care provider with primary practice located at 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville GA 30501-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Graybeal, Casey J can be contacted via phone (770) 536-5733.Contact Information
Primary practice address
1075 Jesse Jewell Pkwy Ne Ste B
Gainesville GA 30501-3814
Phone: (770) 536-5733
Fax: (770) 534-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 043209 | Georgia |
Profile Details
| NPI number | 1841293453 |
|---|---|
| LBN Legal business name | Graybeal, Casey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jan 26th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841293453 | NPPES |
| Georgia | MEDICAID | 00751176A |
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