Catherine Colquitt, MS, ATC, LAT
Individual provider Active NPI Athletic Trainer · Bogart, GA
NPI 1780108266 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1780108266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT003430 (GA)
- Practice address
- 1081 Rocky Branch Rd
Bogart, GA 30622 - Phone
- (706) 424-6896
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003430 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT003430 | GA | Yes |
Addresses
Primary practice location
1081 Rocky Branch Rd
Bogart, GA 30622
Mailing address
132 Wood Lake Dr Apt 223
Athens, GA 30606-6920
Phone (706) 424-6896
Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.