Provider Demographics
NPI:1164483814
Name:HULSEY, CATHERINE CHAREL (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CHAREL
Last Name:HULSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:HULSEY
Other - Last Name:GRAVERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:106 GREENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-2313
Mailing Address - Country:US
Mailing Address - Phone:985-237-0287
Mailing Address - Fax:
Practice Address - Street 1:415 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7246
Practice Address - Country:US
Practice Address - Phone:601-288-4329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS17541208M00000X
LAMD.200573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS6029450OtherHEALTHSPRING
MSP00730756OtherRAILROAD MEDICARE
LA1363294Medicaid
MS05981257Medicaid
MS7012845OtherAETNA
MS2214504OtherCIGNA
MS302I110359Medicare PIN