Individual
CATHERINE LYN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 PINE RUN DR, LUMBERTON, NC 28358-2180
(910) 671-5730
(910) 671-5538
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5195
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-00752
NC
363AS0400X
Surgical Physician Assistant
010625-1
NY
Other
Enumeration date
06/21/2006
Last updated
03/17/2020
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