Doctor Name: | CASEY OLIVER HURST |
NPI Number: | 1588892814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101250468 |
Business Practice Address: | 877 W Faris Rd Ste A Greenville, SC - 296054289 |
Business Phone Number: | 8644557800 |
Business Fax Number: | 8644559037 |
Mailing Address: | 1 Independence Pt, Ste 212 GREENVILLE |
State: | SC |
Postal Code: | 296154545 |
Phone Number: | 8647976306 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101250468 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |