Provider Demographics
NPI:1154321594
Name:LOCARNINI, CASEY NEWMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:NEWMAN
Last Name:LOCARNINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1730 MOUNT VERNON RD
Mailing Address - Street 2:STE B
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4245
Mailing Address - Country:US
Mailing Address - Phone:770-353-2001
Mailing Address - Fax:770-353-2010
Practice Address - Street 1:1730 MOUNT VERNON RD STE B
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4245
Practice Address - Country:US
Practice Address - Phone:770-353-2001
Practice Address - Fax:770-353-2010
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA050724207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine