Mitcham, Cheryl H.

Mitcham, Cheryl H. is an individual health care provider with primary practice located at 600 Celebrate Life Pkwy , Newnan GA 30265-8001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mitcham, Cheryl H. can be contacted via phone (855) 848-5760.

Contact Information

Primary practice address
600 Celebrate Life Pkwy Newnan GA 30265-8001
Phone: (855) 848-5760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003124 Georgia

Profile Details

NPI number 1003904582
LBN Legal business name Mitcham, Cheryl H.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 23rd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003904582 NPPES
Georgia MEDICAID 100001172A

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