Healthcare Provider Details

I. General information

NPI: 1649924846
Provider Name (Legal Business Name): CAROLINE C CATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2941 POINT MALLARD PKWY SE STE N
DECATUR AL
35603-5760
US

IV. Provider business mailing address

2941 POINT MALLARD PKWY SE STE N
DECATUR AL
35603-5760
US

V. Phone/Fax

Practice location:
  • Phone: 256-432-2822
  • Fax: 256-432-2825
Mailing address:
  • Phone: 256-432-2822
  • Fax: 256-432-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-178099
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: