Provider Demographics
NPI:1659817369
Name:HASTINGS, CAITLIN M (PA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:M
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:48 MEDICAL PARK DRIVE EAST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3456
Mailing Address - Country:US
Mailing Address - Phone:205-833-6907
Mailing Address - Fax:205-833-6987
Practice Address - Street 1:48 MEDICAL PARK DRIVE EAST
Practice Address - Street 2:SUITE 150
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3456
Practice Address - Country:US
Practice Address - Phone:205-833-6907
Practice Address - Fax:205-833-6987
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALTA.1833363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant