Provider Demographics
NPI:1043396625
Name:MCCATHRAN, CHARLES ERIC (M D)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ERIC
Last Name:MCCATHRAN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6450
Mailing Address - Country:US
Mailing Address - Phone:866-401-3057
Mailing Address - Fax:318-868-6430
Practice Address - Street 1:1610 CENTER ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1542
Practice Address - Country:US
Practice Address - Phone:251-415-1496
Practice Address - Fax:514-151-4502
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4023207V00000X
AL31264207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
160006316OtherRAILROAD MEDICARE
TX0317562-01Medicaid
TN8A1152OtherBLUE CROSS/BLUE SHIELD
B89320Medicare UPIN
TX0317562-01Medicaid