Provider Demographics
NPI:1508885823
Name:PETERS, CATHERINE BOST (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BOST
Last Name:PETERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2767 DOVER RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1207
Mailing Address - Country:US
Mailing Address - Phone:404-892-0998
Mailing Address - Fax:404-872-0081
Practice Address - Street 1:60 11TH ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3970
Practice Address - Country:US
Practice Address - Phone:404-892-0998
Practice Address - Fax:404-872-0081
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA462112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH59219Medicare UPIN