Provider Demographics
NPI:1508534942
Name:CATALINA FREIGHT CORP
Entity Type:Organization
Organization Name:CATALINA FREIGHT CORP
Other - Org Name:CATALINA FREIGHT CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:470-848-0859
Mailing Address - Street 1:2762 GROOVERS LAKE PT
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2486
Mailing Address - Country:US
Mailing Address - Phone:470-848-0859
Mailing Address - Fax:
Practice Address - Street 1:2762 GROOVERS LAKE PT
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-2486
Practice Address - Country:US
Practice Address - Phone:470-848-0859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty