MEDICARE: ALEXANDRA CATHCART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	LP04334	RI
2	208000000X	Pediatrics Physician	88436	GA

General Provider Information

NPI Number	:	1992298731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA CATHCART MD

Provider Business Mailing Address
First Line	:	2015 UPPERGATE DR #400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-778-4834
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 UPPERGATE DR #400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-4923
Country	:	US
Telephone Number	:	404-778-4834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	06/25/2021

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Directions to “ ALEXANDRA CATHCART MD” Practice Location

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