Individual
ALLYSA CHEESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST # BI2144, AUGUSTA, GA 30912-0004
(706) 721-0180
Mailing address
1120 15TH ST # BI2144, AUGUSTA, GA 30912-0004
(706) 721-0180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12162
GA
Other
Enumeration date
08/12/2020
Last updated
08/13/2020
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