Provider Demographics
NPI:1639307952
Name:CATRETT, FRANKLIN CHAD (DPM)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:CHAD
Last Name:CATRETT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1921
Mailing Address - Country:US
Mailing Address - Phone:229-883-3535
Mailing Address - Fax:229-883-3783
Practice Address - Street 1:531 7TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1921
Practice Address - Country:US
Practice Address - Phone:229-883-3535
Practice Address - Fax:229-883-3535
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006106213E00000X
KY00360213ES0103X
GAPOD001194213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist