MEDICARE: CATHY JAMES CADC-R

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1902622400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY JAMES CADC-R

Provider Business Mailing Address
First Line	:	3100 GENTIAN BLVD # 8A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5670
Country	:	US
Telephone Number	:	706-392-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 GENTIAN BLVD # 8A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5670
Country	:	US
Telephone Number	:	706-392-6982
Fax Number	:

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

Provider Enumeration Date	:	11/29/2024
Last Update Date	:	11/29/2024

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Directions to “ CATHY JAMES CADC-R” Practice Location

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