Provider Demographics
NPI:1407137938
Name:CORNELIUS F. CATHCART, PEDIATRICS, PA
Entity Type:Organization
Organization Name:CORNELIUS F. CATHCART, PEDIATRICS, PA
Other - Org Name:N.C. PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-496-7337
Mailing Address - Street 1:216 N BICKETT BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2473
Mailing Address - Country:US
Mailing Address - Phone:919-496-7337
Mailing Address - Fax:
Practice Address - Street 1:216 N BICKETT BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2473
Practice Address - Country:US
Practice Address - Phone:919-496-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty