Individual
DR. ALVIN E CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 CAROLINE ST NE STE 230, ATLANTA, GA 30307-2749
(678) 916-3610
(678) 916-3611
Mailing address
PO BOX 41007, FAYETTEVILLE, NC 28309-1007
(800) 849-5609
(910) 483-8921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022732
MEDICAL LICENSE
GA
01
—
1053376772
NPI
GA
05
—
89128KT
—
NC
Enumeration date
04/18/2006
Last updated
07/08/2007
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