MEDICARE: MS. CATHERINE HUNTER GARVEY CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	217421	TN
2	163W00000X	Registered Nurse	RN272064	GA
3	363LP0200X	Pediatric Nurse Practitioner	RN272064	GA

General Provider Information

NPI Number	:	1134632391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE HUNTER GARVEY CPNP-PC

Provider Business Mailing Address
First Line	:	1540 AVENUE PL APT 2502
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4146
Country	:	US
Telephone Number	:	423-902-6653
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 AVENUE PL APT 2502
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4146
Country	:	US
Telephone Number	:	423-902-6653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2017
Last Update Date	:	11/09/2017

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