Provider Demographics
NPI:1215938204
Name:BARRY J MCCASLAND MD PC
Entity type:Organization
Organization Name:BARRY J MCCASLAND MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCASLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-531-0334
Mailing Address - Street 1:5669 PEACHTREE DUNWOODY RD STE 275
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1719
Mailing Address - Country:US
Mailing Address - Phone:404-531-0334
Mailing Address - Fax:
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD STE 275
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1719
Practice Address - Country:US
Practice Address - Phone:404-531-0334
Practice Address - Fax:404-531-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018465174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP387Medicare ID - Type Unspecified