Provider Demographics
NPI:1447430210
Name:ESPY, CATHY CULBRETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:CULBRETH
Last Name:ESPY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 NORTH HAIRSTON RD.
Mailing Address - Street 2:INTEGRATED LIFE CENTER
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-2802
Mailing Address - Country:US
Mailing Address - Phone:404-377-5556
Mailing Address - Fax:404-377-8245
Practice Address - Street 1:910 N HAIRSTON RD
Practice Address - Street 2:INTEGRATED LIFE CENTER
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-2802
Practice Address - Country:US
Practice Address - Phone:404-377-5556
Practice Address - Fax:404-377-8245
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002079363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant