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Individual
DR. WILLIAM WAYNE CHEATHAM JR.
Active
Individual
DR. WILLIAM WAYNE CHEATHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01480
NC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
2014-01480
NC
207QA0505X
Adult Medicine Physician
2014-01480
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2014-01480
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2014-01480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN6215A
MEDICARE
NC
Enumeration date
12/07/2005
Last updated
05/06/2021
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