Cheatham, David H
Cheatham, David H is an sole proprietor health care provider with primary practice located at 801 Beacon St , Waycross GA 31501-7109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cheatham, David H can be contacted via phone (912) 285-2440.Contact Information
Primary practice address
801 Beacon St
Waycross GA 31501-7109
Phone: (912) 285-2440
Fax: (912) 287-0197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 045745 | Georgia |
Profile Details
| NPI number | 1518969153 |
|---|---|
| LBN Legal business name | Cheatham, David H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 7th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518969153 | NPPES |
| Georgia | MEDICAID | 000797024B | |
| Georgia | MEDICAID | 000797024D |
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