Southards, Casey Wall

Southards, Casey Wall is an individual health care provider with primary practice located at 162 Commercial St Suite B, Forest City NC 28043-2849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Southards, Casey Wall can be contacted via phone (828) 287-9325.

Contact Information

Primary practice address
162 Commercial St Suite B Forest City NC 28043-2849
Phone: (828) 287-9325
Fax: (828) 287-3594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005745 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005745 North Carolina

Profile Details

NPI number 1609123306
LBN Legal business name Southards, Casey Wall
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Dec 3rd, 2015 - about 9 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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