Provider Demographics
NPI:1073594735
Name:HARRIGAN, CASWALL C SR (MD)
Entity Type:Individual
Prefix:DR
First Name:CASWALL
Middle Name:C
Last Name:HARRIGAN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 HIGHWAY 72 W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9564
Mailing Address - Country:US
Mailing Address - Phone:256-837-2271
Mailing Address - Fax:256-837-2910
Practice Address - Street 1:8045 HIGHWAY 72 W
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9564
Practice Address - Country:US
Practice Address - Phone:256-837-2271
Practice Address - Fax:256-837-2910
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013868207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000034676OtherMEDICARE PTAN
000034676OtherMEDICARE PTAN