Healthcare Provider Details

I. General information

NPI: 1639307952
Provider Name (Legal Business Name): FRANKLIN CHAD CATRETT D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 7TH AVE
ALBANY GA
31701-1921
US

IV. Provider business mailing address

531 7TH AVE
ALBANY GA
31701-1921
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-3535
  • Fax: 229-883-3535
Mailing address:
  • Phone: 229-883-3535
  • Fax: 229-883-3783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC006106
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number00360
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD001194
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: