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NPI Code Detail

MEDICARE: JUNE CASSMAN NP-C

MEDICARE: JUNE CASSMAN NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN156994 NPGA

General Provider Information

NPI Number : 1952612921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE CASSMAN NP-C
Provider Business Mailing Address
First Line : 7958 MUIRFIELD CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-2036
Country : US
Telephone Number : 706-565-8498
Fax Number :
Provider Business Practice Location Address
First Line : 1130 TALBOTTON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8749
Country : US
Telephone Number : 706-641-6900
Fax Number : 706-327-0757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 06/24/2010

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