Casey J Bolton
Medical Specialty
Professional ID
- NPI: 1629462056
- PECOS ID: 3274847801
- Enrollment ID: I20150727002319
- Credential(MD, DO, DPM):
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 110041
- Business Name (LBN)1: Habersham County Medical Ctr
Medical Practices
- Organization Name: The Longstreet Clinic, Pc
- Group Practice ID assigned by PECOS: 2668465733
- Number of Group Practice member: 120
Location
- Address1: 725 Jesse Jewell Pkwy
- Address2: Suite 150
- City: Gainesville
- State: Georgia
- Zip Code: 30501
- Phone Number: (770)297-5700
Location
- Address1: 725 Jesse Jewell Pkwy Se
- Address2:
- City: Gainesville
- State: Georgia
- Zip Code: 30501
- Phone Number: (770)718-1122
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):