Healthcare Provider Details

I. General information

NPI: 1457822348
Provider Name (Legal Business Name): CATHY MCELVEEN BILLITER CNS MH/PSY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FREEDOM WAY # 26
AUGUSTA GA
30904-6258
US

IV. Provider business mailing address

1 FREEDOM WAY # 26
AUGUSTA GA
30904-6258
US

V. Phone/Fax

Practice location:
  • Phone: 706-733-0188
  • Fax: 706-731-7190
Mailing address:
  • Phone: 706-733-0188
  • Fax: 706-731-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN046382
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: