Provider Demographics
NPI:1871771907
Name:PREISSIG, CATHERINE MOBLEY (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MOBLEY
Last Name:PREISSIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 HEMLOCK STREET
Mailing Address - Street 2:BOX 83
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201
Mailing Address - Country:US
Mailing Address - Phone:770-653-6201
Mailing Address - Fax:
Practice Address - Street 1:777 HEMLOCK STREET
Practice Address - Street 2:BOX 83
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201
Practice Address - Country:US
Practice Address - Phone:770-653-6201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054637174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist