Provider Demographics
NPI:1972646701
Name:LEVY, CATHERINE FRYSH (PA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FRYSH
Last Name:LEVY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 28357
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30358-0357
Mailing Address - Country:US
Mailing Address - Phone:214-227-2457
Mailing Address - Fax:214-764-0880
Practice Address - Street 1:3235 ROSWELL RD NE UNIT 508
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1884
Practice Address - Country:US
Practice Address - Phone:770-985-4257
Practice Address - Fax:770-985-4258
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2024-02-27
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Provider Licenses
StateLicense IDTaxonomies
GA2736363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical