Individual
DR. CHERYL LYNNE DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1510 RIBAUT RD, PORT ROYAL, SC 29935-1403
(843) 770-0676
Mailing address
423 MEDICAL PARK DR, SUITE 100, LENOIR CITY, TN 37772-5640
(865) 271-6600
(865) 271-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1826
TN
207Q00000X
Family Medicine Physician
Primary
51246
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11484390
CAQH
TN
05
—
1515151
—
TN
05
—
51246
—
SC
Enumeration date
10/13/2006
Last updated
03/28/2024
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