Provider Demographics
NPI:1912992520
Name:MAUER, CATHERINE T (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:T
Last Name:MAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 EAGLES LANDING PKWY
Mailing Address - Street 2:STE. 108/109
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7279
Mailing Address - Country:US
Mailing Address - Phone:678-289-8184
Mailing Address - Fax:678-565-9856
Practice Address - Street 1:1215 EAGLES LANDING PKWY
Practice Address - Street 2:STE. 108/109
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7279
Practice Address - Country:US
Practice Address - Phone:678-289-8184
Practice Address - Fax:678-565-9856
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-12-30
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-19
Provider Licenses
StateLicense IDTaxonomies
GA045647208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics