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Individual
DR. JOHN DUDLEY CHEAPE
Active
Individual
DR. JOHN DUDLEY CHEAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036121G
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538997A
—
GA
01
—
2089586
AETNA HMO
GA
01
—
2648569002
CIGNA
GA
01
—
2648569003
CIGNA HMO
GA
01
—
4200328
AETNA
GA
05
—
G36121
—
SC
Enumeration date
10/23/2006
Last updated
10/15/2021
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