Individual
DR. CHARLES F CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2208 E MAIN ST, CORTEZ, CO 81321-4222
(970) 565-6833
Mailing address
2208 E MAIN ST, CORTEZ, CO 81321-4222
(970) 565-6833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0031380
CO
207Q00000X
Family Medicine Physician
MD24777
TN
Other
Enumeration date
05/08/2013
Last updated
05/07/2024
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