Healthcare Provider Details

I. General information

NPI: 1942491402
Provider Name (Legal Business Name): SUSAN DENISE CATON C.F.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 AVIEMORE DR
PINEHURST NC
28374-9797
US

IV. Provider business mailing address

95 AVIEMORE DR
PINEHURST NC
28374-9797
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-4489
  • Fax: 910-215-8035
Mailing address:
  • Phone: 910-295-4489
  • Fax: 910-215-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: