Provider Demographics
NPI:1376648667
Name:MESSER, CATHY ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:ANN
Last Name:MESSER
Suffix:
Gender:F
Credentials:DO
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 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:151 PEACHWOOD CENTRE DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2575
Practice Address - Country:US
Practice Address - Phone:864-560-9627
Practice Address - Fax:864-562-5470
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1017208D00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCL3426067OtherMEDICARE PIN
SCSCL3426084OtherMEDICARE PIN
SC010179Medicaid
SC20056006OtherSELECT HEALTH OF SC
NC5905105Medicaid
SCP01000097OtherRAILROAD MEDICARE
SCSCL342J577OtherMEDICARE PIN
SC191227OtherMEDCOST
SC576000934-097OtherTRICARE
SCG121748510OtherMEDICARE PIN
SCG121749068OtherMEDICARE PIN
SCP00351956OtherRAIL ROAD MEDICARE