Individual
CATESBY PENN ULVERSOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4721 CHACE CIR, HOOVER, AL 35244-3700
(205) 716-6054
(205) 823-5218
Mailing address
4721 CHACE CIR, HOOVER, AL 35244-3700
(205) 716-6054
(205) 823-5218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11104
GA
363A00000X
Physician Assistant
Primary
2195
AL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/06/2022
Last updated
11/22/2024
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