Individual
CATHERINE JONES BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3030 RANDOLPH RD, CHARLOTTE, NC 28211-1368
(704) 512-4450
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0774
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007601328
—
VA
01
—
121242
SOUTHERN HEALTH
VA
01
—
140457
ANTHEM
VA
01
—
213427
CIGNA
VA
01
—
432612
MAMSI/ALLIANCE
VA
01
—
5209080
AETNA
VA
01
—
541913625
TAXONOMY
VA
01
—
54536
SENTARA/OPTIMA
VA
01
—
620043172
RAILROAD MEDICARE
VA
Enumeration date
10/19/2006
Last updated
11/27/2023
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