Provider Demographics
NPI:1518940923
Name:VOLATILE, KATHERINE EDWARDS (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:EDWARDS
Last Name:VOLATILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:188 MEDICAL PARK DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4187
Mailing Address - Country:US
Mailing Address - Phone:828-884-7320
Mailing Address - Fax:828-877-6191
Practice Address - Street 1:188 MEDICAL PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4187
Practice Address - Country:US
Practice Address - Phone:828-884-7320
Practice Address - Fax:828-877-6191
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1322COtherBCBS OF NC
NCP00423987OtherRAILROAD MEDICARE
NC891322CMedicaid
NC2008839BMedicare PIN
NC891322CMedicaid