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Individual

CATHY CHARESE PELHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(527) 522-1402
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(527) 522-1402
(252) 689-6502

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
056171
GA
207L00000X
Anesthesiology Physician
Primary
2010-00637
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056171
STATE LICENSE
GA
05
417814764
GA
Enumeration date
10/12/2006
Last updated
03/11/2025
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