| David H. Cheatham, M.d.,p.c. | |
|
801 Beacon St Waycross GA 31501-7109 | |
| (912) 285-2440 | |
| (912) 287-0197 |
| Full Name | David H. Cheatham, M.d.,p.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 801 Beacon St, Waycross, Georgia |
| Authorized Official Name and Position | Kitty Cheatham (OFFICE MANAGER) |
| Authorized Official Contact | 9122852440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H. Cheatham, M.d.,p.c. 801 Beacon St Waycross GA 31501-7109 Ph: (912) 285-2440 | David H. Cheatham, M.d.,p.c. 801 Beacon St Waycross GA 31501-7109 Ph: (912) 285-2440 |
| NPI Number | 1043495963 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043495963 | NPI | - | NPPES |
| 000797024D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 045745 (Georgia) | Primary |
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Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
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