Provider Demographics
NPI:1174645329
Name:CASEY, FRANK MARTIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MARTIN
Last Name:CASEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5400 BOWMAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-8879
Mailing Address - Country:US
Mailing Address - Phone:478-745-6576
Mailing Address - Fax:478-746-0018
Practice Address - Street 1:5400 BOWMAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-8879
Practice Address - Country:US
Practice Address - Phone:478-745-6576
Practice Address - Fax:478-746-0018
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2013-07-23
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Provider Licenses
StateLicense IDTaxonomies
GA059614208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA308323399AMedicaid
GA34BDDQLMedicare PIN