Provider Demographics
NPI:1952625592
Name:POLLARD, CATHERINE ALLEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ALLEY
Last Name:POLLARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:MCCURDY
Other - Last Name:ALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 890283
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-0283
Mailing Address - Country:US
Mailing Address - Phone:252-633-4461
Mailing Address - Fax:252-633-6016
Practice Address - Street 1:2115 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4309
Practice Address - Country:US
Practice Address - Phone:252-633-4461
Practice Address - Fax:252-633-6016
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-02242363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant