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NPI Code Detail

MEDICARE: DR. GARRETT GERARD ARTHUR CASALE M.D.

MEDICARE:  DR. GARRETT GERARD ARTHUR CASALE  M.D.
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
1207Y00000XOtolaryngology Physician2022-02901NC

General Provider Information

NPI Number : 1265896906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARRETT GERARD ARTHUR CASALE M.D.
Provider Business Mailing Address
First Line : 1795 PAXTON LN
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-4021
Country : US
Telephone Number : 770-617-9627
Fax Number :
Provider Business Practice Location Address
First Line : 110 CHARLOIS BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-1522
Country : US
Telephone Number : 336-768-3361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 10/14/2023

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