Healthcare Provider Details

I. General information

NPI: 1871550871
Provider Name (Legal Business Name): CATHERINE E. PALMIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3795 MANSELL RD
ALPHARETTA GA
30022-8247
US

IV. Provider business mailing address

2208 ASCOTT VALLEY TRCE
DULUTH GA
30097-5972
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-8540
  • Fax: 404-785-8574
Mailing address:
  • Phone: 678-474-9108
  • Fax: 678-471-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number048173
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH8785
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: