Healthcare Provider Details

I. General information

NPI: 1073880324
Provider Name (Legal Business Name): CATHERINE V FRANCIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW SUITE 600
ATLANTA GA
30318-2538
US

IV. Provider business mailing address

550 PEACHTREE ST NE STE 1600
ATLANTA GA
30308-2246
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-9512
  • Fax: 404-351-9815
Mailing address:
  • Phone: 404-881-1094
  • Fax: 404-874-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number007844
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number015-341
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: