MEDICARE: KIRT A CATON MD

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	207Q00000X	Family Medicine Physician	22293	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00207315	OTHER	SC	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376509091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRT A CATON MD

Provider Business Mailing Address
First Line	:	PO BOX 118008
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29423-8008
Country	:	US
Telephone Number	:	843-554-8312
Fax Number	:	843-554-5141

Provider Business Practice Location Address
First Line	:	1254 YEAMANS HALL RD
Second Line	:
City	:	HANAHAN
State	:	SC
Zip	:	29410-2787
Country	:	US
Telephone Number	:	843-554-8312
Fax Number	:	843-554-5141

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	09/06/2011

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Directions to “ KIRT A CATON MD” Practice Location

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