Basic Information
Provider Information
NPI: 1710156385
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATOE
FirstName: ELSIE
MiddleName: J
NamePrefix: MS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 533 E HOME AVE
Address2:  
City: HARTSVILLE
State: SC
PostalCode: 295503729
CountryCode: US
TelephoneNumber: 8432304194
FaxNumber:  
Practice Location
Address1: 6439 GARNERS FERRY RD
Address2: WM. JENNINGS BRYAN DORN MEDICAL CENTER
City: COLUMBIA
State: SC
PostalCode: 29209
CountryCode: US
TelephoneNumber: 8037764000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2008
LastUpdateDate: 02/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200XR26630SCY Nursing Service ProvidersRegistered NurseCritical Care Medicine

No ID Information.


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