Provider Demographics
NPI:1457489627
Name:CREGER, CATHY P (DPH)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:P
Last Name:CREGER
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-6232
Mailing Address - Country:US
Mailing Address - Phone:423-968-1321
Mailing Address - Fax:423-968-2248
Practice Address - Street 1:1430 VOLUNTEER PARKWAY
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-968-2222
Practice Address - Fax:423-968-2248
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC-4351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist