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:
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Health care specialties

SpecialtyCodeLicense #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 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 1841293453 NPPES
Georgia MEDICAID 00751176A

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