Individual
CATHERINE FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 HOSPITAL DR STE 330, MACON, GA 31217-3895
(478) 200-8152
Mailing address
7363 ZEBULON RD, MACON, GA 31220
(478) 973-5670
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
RN292152
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP292152
GA
Other
Enumeration date
06/26/2023
Last updated
02/03/2026
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