Individual
JACQUELYN CHEATHAM-TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
4550 COBB PARKWAY NORTH NW STE 201A, ACWORTH, GA 30101-4182
(770) 974-4655
(770) 974-1970
Mailing address
4550 COBB PARKWAY NORTH NW STE 201A, ACWORTH, GA 30101-4182
(770) 974-4655
(770) 974-1970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71325
GA
Other
Enumeration date
05/15/2012
Last updated
08/19/2022
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